Organization Active NPI

Soul Sanctuary Healing and Wellness

  • Mental Health Counselor
  • Anchorage, AK
National Provider Identifier
1821677527
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOUL SANCTUARY HEALING AND WELLNESS
Doing business as
Jeanne Brady LLC
Soul Sanctuary Healing and Wellness
Practice address
2400 Spenard Rd Ste 200
Anchorage, AK 99503-1644
Phone
(855) 573-4980
Fax
(833) 990-0956
NPI assigned
Apr 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Authorized official

Name
Jeanne Brady, PSYDNPI 1326515669
Title
Licensed Professional Counselor
Phone
(855) 573-4980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2400 Spenard Rd Ste 200
Anchorage, AK 99503-1644

Mailing address

2400 Spenard Rd Ste 200
Anchorage, AK 99503-1644
Phone (855) 573-4980

Other names 2

  • Jeanne Brady LLC Doing business as
  • Soul Sanctuary Healing and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240523002254 AK Part B Supplier - Clinic/Group Practice 8022450949 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

841 I St
Anchorage, AK 99501
Phone (907) 304-0844

2400 Spenard Rd
Ste 200
Anchorage, AK 99503
Phone (855) 573-4980

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1821677527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SPENARD RD STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995031644",
            "telephone_number": "855-573-4980",
            "fax_number": "833-990-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SPENARD RD STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995031644",
            "telephone_number": "855-573-4980",
            "fax_number": "833-990-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SANCTUARY HEALING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "855-573-4980",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeanne Brady LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soul Sanctuary Healing and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.