James M Price, LPC, CDC II, MAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

163166 Issued in AK

Practice address

3449 E Rezanof Dr
Kodiak, AK 99615-6952

Phone

(907) 486-7385

Fax

(907) 486-7398

NPI assigned

Aug 9, 2013

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• City of Valdez

  dba Providence Valdez Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valdez, AK
  • NPI 1962525097
  Medicare reassignment NPD
• Providence Health & Services Washington

  dba Providence Kodiak Island Counseling Center

  • Community/Behavioral Health Agency
  • Kodiak, AK
  • NPI 1477563344

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1821421173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156952",
            "telephone_number": "907-486-7385",
            "fax_number": "907-486-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156952",
            "telephone_number": "907-486-7385",
            "fax_number": "907-486-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "LPC, CDC II, MAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-09",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "3962",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "163166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALASKA LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "163166",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH2237",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Pletnikoff, MD
• Judy Pletnikoff
• Bettye Plyler, LPN
• Terry Wayne Pollard
• Heather Mary Preece, MHSC, RD, LD
• Providence Health & Services - Washington (Providence Kodiak Home Health)
• Providence Health & Services - Washington (Providence Kodiak Island Medical Center)
• Providence Health & Services -Washington
• Providence Health & Services Washington (Providence Kodiak Island Medical Center)
• Providence Health & Services Washington (Providence Kodiak Island Medical Center)

• Professional Counselor in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.