David Jonathan Banks, LPC
Individual provider Active NPI Professional Counselor · Anchorage, AK
NPI 1740729276 · NPPES record last updated Mar 5, 2022
Key facts
- NPI
- 1740729276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 119540 (AK)
- Practice address
- 517 W Northern Lights Blvd
Anchorage, AK 99503-2503 - Phone
- (907) 802-8698
- NPI assigned
- Feb 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25 | AK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Baptist Family Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Marriage & Family Therapist | 106H00000X | 25 | AK | |
| Marriage & Family Therapist | 106H00000X | |||
| Professional Counselor | 101YP2500X | 119540 | AK | Yes |
Addresses
Primary practice location
517 W Northern Lights Blvd
Anchorage, AK 99503-2503
Mailing address
5005 Kobuk Ave
Anchorage, AK 99508-2403
Phone (907) 802-8698
Other providers in Anchorage, AK
- Genesis Banks-Moore
- Barbara Banks
- Barrett Banks
- Brandie Nicole Banks
- Chelsea Banks
- Kenosha Banks
- Ruth A Banks
- Earl Banning
- Lindsey Banning
- Shuang Ying Bao
All providers in Anchorage, AK · Professional Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.