Active NPI
Keri Ann Chandler
- Professional Counselor
- Anchorage, AK
National Provider Identifier
1821589995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 201110
- Practice address
- 2121 Abbott Rd
Anchorage, AK 99507-4450 - Phone
- (907) 522-7080
- NPI assigned
- May 24, 2018
- Last updated
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 201110 | AK | Primary |
Addresses
Primary practice location
2121 Abbott Rd
Anchorage, AK 99507-4450
Mailing address
6043 N Canyon Bluff Cir
Palmer, AK 99645-8392
Phone (919) 922-9927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 25, 2024 through Jun 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201110 | AK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Health Associates | Past | Accepting new patients | |
| Christian Health Associates | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Cornerstone Clinic Counseling Center
- Mental Health Counselor
- Anchorage, AK
- NPI 1891911673
-
dba Cornerstone Health- Medical
- Family Medicine Physician
- Anchorage, AK
- NPI 1952483679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1821589995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6043 N CANYON BLUFF CIR",
"city": "PALMER",
"state": "AK",
"postal_code": "996458392",
"telephone_number": "919-922-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 ABBOTT RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995074450",
"telephone_number": "907-522-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "KERI",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-24",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "201110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.