Active NPI
Jaclyn Sutton Rangel, LPC
- Professional Counselor
- Anchorage, AK
National Provider Identifier
1831535095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 234271
- Practice address
- 3600 San Jeronimo Dr
Anchorage, AK 99508-2870 - Phone
- (907) 793-3600
- NPI assigned
- May 15, 2013
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CP5798 | NV | |
| Professional Counselor | 101YP2500X | 253423 | AK | |
| Counselor | 101Y00000X | CP5798 | NV | |
| Professional Counselor | 101YP2500X | 234271 | AK | Primary |
| Mental Health Counselor | 101YM0800X | CP5798 | NV | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00687-C | NV |
Addresses
Primary practice location
3600 San Jeronimo Dr
Anchorage, AK 99508-2870
Mailing address
3600 San Jeronimo Dr
Anchorage, AK 99508-2870
Phone (907) 793-3600
Other practice location 1
3149 Mountain View Dr
Anchorage, AK 99501-3106
Phone (907) 793-3600
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP5798 | NV | MD | Counselor |
| 00687-C | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 234271 | AK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Inlet Tribal Council, Inc | Current | Accepting new patients | |
| Cook Inlet Tribal Council, Inc | Mental Health | Past | Accepting new patients |
Locations
3600 San Jeronimo Dr
Anchorage, AK 99508
Phone (907) 793-3200
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/citci/r4/
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1952101362
-
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1437273000
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1831535095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 SAN JERONIMO DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082870",
"telephone_number": "907-793-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 SAN JERONIMO DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082870",
"telephone_number": "907-793-3600"
}
],
"practiceLocations": [
{
"address_1": "3149 Mountain View Dr",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995013106",
"country_code": "US",
"telephone_number": "907-793-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON RANGEL",
"first_name": "JACLYN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CP5798",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "253423",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NV",
"license": "CP5798",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "234271",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CP5798",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "00687-C",
"primary": false
}
],
"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 Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.