Individual provider Active NPI

Jessica Lynn Pretz, LPC

  • Professional Counselor
  • Anchorage, AK
National Provider Identifier
1811536303
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
154248 Issued in AK
Practice address
8717 Dimond D Cir
Anchorage, AK 99515-1931
Phone
(907) 771-0536
NPI assigned
Dec 31, 2019
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 86690 TX
Professional Counselor 101YP2500X 7908 SC
Professional Counselor 101YP2500X 154248 AK Primary

Addresses

Primary practice location

8717 Dimond D Cir
Anchorage, AK 99515-1931

Mailing address

8717 Dimond D Cir
Anchorage, AK 99515-1931
Phone (907) 771-0536

Other practice location 1

26400 Kuykendahl Rd Ste C180-239
The Woodlands, TX 77375-2882
Phone (281) 849-9691

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jessicapretz88@gmail.com

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

LicenseStateTypeSpecialty
154248AKMDProfessional Counselor
86690TXMDProfessional Counselor
7908SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
E & a, Inc. Professional CurrentSince Apr 11, 2021 Accepting new patients
Southern Grace Counseling LLC Current Accepting new patients
E & a, Inc. PastSince Jan 5, 2020 Accepting new patients
Creekside Counseling LLC PastSince Feb 27, 2022 Accepting new patients

Locations

8717 Dimond D Cir
Anchorage, AK 99515
Phone (907) 771-0536

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1811536303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 DIMOND D CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151931",
            "telephone_number": "907-771-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 DIMOND D CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151931",
            "telephone_number": "907-771-0536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26400 Kuykendahl Rd Ste C180-239",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773752882",
            "country_code": "US",
            "telephone_number": "281-849-9691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRETZ",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86690",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7908",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "154248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jessicapretz88@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "8717 Dimond D Cir",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995151931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.