Active NPI
Jessica Limer
- Mental Health Counselor
- Palmer, AK
National Provider Identifier
1780394783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 216155
- Practice address
- 11350 E Palmer Wasilla Hwy
Palmer, AK 99645-7425 - Phone
- (907) 802-6595
- NPI assigned
- Nov 30, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Peer Specialist | 175T00000X | |||
| Mental Health Counselor | 101YM0800X | 216155 | AK | Primary |
Addresses
Primary practice location
11350 E Palmer Wasilla Hwy
Palmer, AK 99645-7425
Mailing address
PO Box 876741
Wasilla, AK 99687-6741
Other practice location 1
7010 E Bogard Rd
Wasilla, AK 99654-4711
Phone (907) 373-4732
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 |
|---|---|---|---|
| 216155 | AK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Therapy, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Palmer, AK
- NPI 1770218422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1780394783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 876741",
"city": "WASILLA",
"state": "AK",
"postal_code": "996876741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11350 E PALMER WASILLA HWY",
"city": "PALMER",
"state": "AK",
"postal_code": "996457425",
"telephone_number": "907-802-6595"
}
],
"practiceLocations": [
{
"address_1": "7010 E Bogard Rd",
"address_purpose": "LOCATION",
"city": "Wasilla",
"state": "AK",
"postal_code": "996544711",
"country_code": "US",
"telephone_number": "907-373-4732",
"fax_number": "907-746-4749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIMER",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-30",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AK",
"license": "216155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.