Organization Active NPI

Collective Effervescence Counseling

  • Clinical Social Worker
  • Fairbanks, AK
National Provider Identifier
1700747367
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Tiana KrausNPI 1578272373
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.