Gunnar Ebbesson, LPC MAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

452 Issued in AK

Practice address

315 5TH Ave
Fairbanks, AK 99701-5025

Phone

(907) 374-7776

Fax

(800) 988-1650

NPI assigned

Feb 26, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Turning Point LLC

  • Community/Behavioral Health Agency
  • Fairbanks, AK
  • NPI 1619108677
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1780853457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 5TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015025",
            "telephone_number": "907-374-7776",
            "fax_number": "800-988-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 5TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015025",
            "telephone_number": "907-374-7776",
            "fax_number": "800-988-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBESSON",
        "first_name": "GUNNAR",
        "credential": "LPC MAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "503051",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda T Easaw-Favor, LCSW
• Emily East
• Pamela Eastburn
• Easter Seals Alaska
• Shannon Eastwood-Koleszar
• Rachelle Ebbesson, MA LMT
• Kristina Eberhardt, BCBA
• Harold Echo-Hawk
• Amanda Eckert
• Lisabeth Eddy, M.ED

• Mental Health Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.