Ray Depalatis, PH.D., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12 Issued in AK

Practice address

12930 Summer Cir
Anchorage, AK 99516-2629

Phone

(907) 244-4165

Fax

(907) 563-8287

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 11, 2024 through Apr 11, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Severson & Depalatis Christian Counseling, Inc

  • Professional Counselor
  • Anchorage, AK
  • NPI 1275743825
  NPD Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1720298201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 SUMMER CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162629",
            "telephone_number": "907-244-4165",
            "fax_number": "907-563-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 SUMMER CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162629",
            "telephone_number": "907-244-4165",
            "fax_number": "907-563-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPALATIS",
        "first_name": "RAY",
        "credential": "PH.D., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Excellence, LLC
• Dentistry for Children, Inc
• Hanna Denton
• Sandra C Denton, MD
• Shawna Denton
• Department of Defense
• Mary Depew, LPN
• Hannah Marianne Sybil Deraedt, NP
• Matthew Francis Deraedt, PHARMD
• Derek Cluff DMD LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.