Active NPI
Dessie Pierce, MA LPC
- Professional Counselor
- Nome, AK
National Provider Identifier
1790025872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 157410
- Practice address
- 706 Greg Kruschek
Nome, AK 99762-0966 - Phone
- (907) 443-3344
- NPI assigned
- Feb 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 70404 | TX | |
| Professional Counselor | 101YP2500X | 157410 | AK | Primary |
Addresses
Primary practice location
706 Greg Kruschek
Nome, AK 99762-0966
Mailing address
PO Box 966
Nome, AK 99762-0966
Phone (907) 443-3344
Other practice location 1
829 Chief Eddie Hoffman Hwy
Suite 150
Bethel, AK 99559
Phone (907) 543-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020986 | Medicaid | AK |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157410 | AK | MD | Professional Counselor |
| 70404 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1790025872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 966",
"city": "NOME",
"state": "AK",
"postal_code": "997620966",
"telephone_number": "907-443-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 GREG KRUSCHEK",
"city": "NOME",
"state": "AK",
"postal_code": "997620966",
"telephone_number": "907-443-3344"
}
],
"practiceLocations": [
{
"address_1": "829 Chief Eddie Hoffman Hwy",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "Bethel",
"state": "AK",
"postal_code": "99559",
"country_code": "US",
"telephone_number": "907-543-6100",
"fax_number": "907-543-6159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIERCE",
"first_name": "DESSIE",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-26",
"last_updated": "2023-03-09",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70404",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "157410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020986",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nome, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.