Active NPI
Collective Effervescence Counseling
- Clinical Social Worker
- Fairbanks, AK
National Provider Identifier
1700747367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- COLLECTIVE EFFERVESCENCE COUNSELING
- Practice address
- 600 3Rd St Ste 202
Fairbanks, AK 99701-3569 - Phone
- (907) 888-4343
- NPI assigned
- Nov 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiana Kraus
- Title
- Clinician/Owner
- Phone
- (907) 888-4343
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
600 3Rd St Ste 202
Fairbanks, AK 99701-3569
Mailing address
1311 27TH Ave
Fairbanks, AK 99701-6722
Phone (907) 888-4343
National Provider Directory
National Provider DirectoryLocations
600 3rd St
Ste 202
Fairbanks, AK 99701
Phone (907) 888-4343
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Fairbanks, AK
- NPI 1578272373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763683200000",
"number": "1700747367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 27TH AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997016722",
"telephone_number": "907-888-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 3RD ST STE 202",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013569",
"telephone_number": "907-888-4343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLECTIVE EFFERVESCENCE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-21",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A",
"authorized_official_last_name": "KRAUS",
"authorized_official_first_name": "TIANA",
"authorized_official_title_or_position": "CLINICIAN/OWNER",
"authorized_official_telephone_number": "907-888-4343"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.