Pearl Creek Counseling & Consulting, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PEARL CREEK COUNSELING & CONSULTING, LLC

Practice address

3550 Airport Way Ste 4
Fairbanks, AK 99709-4772

Phone

(907) 531-5991

NPI assigned

Nov 15, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emily Low, LPCNPI 1326674706

Title

Owner

Phone

(907) 531-5991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Low

  • Professional Counselor
  • Fairbanks, AK
  • NPI 1326674706
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1700651148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 GEIST RD STE E-149",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 AIRPORT WAY STE 4",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094772",
            "telephone_number": "907-531-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL CREEK COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "LOW",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-531-5991",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pawelko, MA
• Melissa C Payne, RN
• Walter Lee Payne, DDS
• Linda Kay Payton
• Kristin Peak
• Rhonda L Pearson, PT
• Jessica Marie Peckham, FNP-C
• Elizabeth Ann Pegouskie
• Sarah Calumbine Pegouskie, APRN, FNP
• Maria Pelkola

• Professional Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.