Active NPI
Madai Rosa Pichardo
- Professional Counselor
- Anchorage, AK
National Provider Identifier
1780375865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 155465
- Practice address
- 4130 San Ernesto Ave
Anchorage, AK 99508-2875 - Phone
- (907) 729-5070
- Fax
- (907) 729-6353
- NPI assigned
- May 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 155465 | AK | Primary |
Addresses
Primary practice location
4130 San Ernesto Ave
Anchorage, AK 99508-2875
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-7408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155465 | AK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1780375865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7033 E TUDOR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071262",
"telephone_number": "907-729-7408",
"fax_number": "907-729-6353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 SAN ERNESTO AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082875",
"telephone_number": "907-729-5070",
"fax_number": "907-729-6353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICHARDO",
"first_name": "MADAI",
"middle_name": "ROSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "155465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.