Kiana Marie Carr, LMFT
Individual provider Active NPI Marriage & Family Therapist · Fairbanks, AK
NPI 1780418301 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1780418301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 127164 (AK)
- Practice address
- 926 Aspen St
Fairbanks, AK 99709-5501 - Phone
- (907) 762-8668
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127164 | AK | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Community Mental Health Services, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 127164 | AK | Yes |
Addresses
Primary practice location
926 Aspen St
Fairbanks, AK 99709-5501
Mailing address
221 Glacier Ave
Fairbanks, AK 99701-3631
Phone (907) 712-7982
Other providers in Fairbanks, AK
- Jennifer Carlson
- Kimberly Carlson
- Heather M Carmichael
- Allison Carr
- Bruce Evan Carr
- Sharon Carrasquillo Torres
- Karissa Carroll
- Loa Carroll
- Rebecka Carroll
- Roselie Ann Carroll
All providers in Fairbanks, AK · Marriage & Family Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. 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.