Mary Bartell, LPC

Individual provider Active NPI Professional Counselor · Anchorage, AK

NPI 1780194019 · NPPES record last updated Sep 30, 2017

Key facts

NPI
1780194019
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
863 (AK)
Practice address
307 E Northern Lights Blvd Ste 101
Anchorage, AK 99503-2701
Phone
(907) 302-8498
NPI assigned
Sep 30, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
863AKMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 863 AK Yes

Addresses

Primary practice location

307 E Northern Lights Blvd Ste 101
Anchorage, AK 99503-2701

Mailing address

307 E Northern Lights Blvd Ste 101
Anchorage, AK 99503-2701

Other providers in Anchorage, AK

All providers in Anchorage, AK · Professional Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.