Marsha Eidlebach

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

272 Issued in AK

Practice address

360 W Benson Blvd Ste 200
Anchorage, AK 99503-3953

Phone

(907) 565-1200

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marsha.jan.eidlebach.lpc.1@18095.direct.athenahealth.com
• FHIR API: https://api.qualifacts.org/api/fhir/akeela/r4/
• Direct secure messaging: marsha.eidlebach.1@18095.direct.athenahealth.com

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.

• Kabo Health LLC

  • Urgent Care Clinic/Center
  • Anchorage, AK
  • NPI 1346777505
  Medicare reassignment NPD
• Akeela Inc.

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1235347527
  NPD (past)
• Akeela Inc.

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1316585672
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1801455738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W BENSON BLVD STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033953",
            "telephone_number": "907-565-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BENSON BLVD STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033953",
            "telephone_number": "907-565-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDLEBACH",
        "first_name": "MARSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marne Prettyman Eggleston, LPC-S, NCC, MAC
• Eh Health Home Health of the Northwest, LLC
• Eh Health Hospice of the Northwest, LLC
• Jay Hugh Ehly, M.D.
• Peter George Ehrnstrom, M.D.
• Joseph Einhorn, M.D.
• Taylor Eisberg
• Erin McNeil Eisses
• Alexander Eissler
• Jessica Eissler

• Mental Health Counselor in Anchorage, AK
• Providers in Anchorage, 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 Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.