Keri Ann Chandler
Individual provider Active NPI Professional Counselor · Anchorage, AK
NPI 1821589995 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1821589995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 201110 (AK)
- Practice address
- 2121 Abbott Rd
Anchorage, AK 99507-4450 - Phone
- (907) 522-7080
- NPI assigned
- May 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- 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
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 201110 | AK | Yes |
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
Other providers in Anchorage, AK
- Gay Mililani Chan
- Joanne Chan
- Roxanne S Chan
- Bruce Chandler
- Casey S Chandler
- Leon H Chandler Jr.
- Erin Chanel
- Bob E Chaney
- Deanna Shandon Chaney
- Eugene M Chang
All providers in Anchorage, AK · Professional Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.