Catalyst Counseling & Wellness Group Inc
Organization Active NPI Mental Health Counselor · Fairbanks, AK
NPI 1841031283 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1841031283
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- CATALYST COUNSELING & WELLNESS GROUP INC
- Practice address
- 1431 Gillam Way
Fairbanks, AK 99701-6043 - Phone
- (907) 322-3033
- Fax
- (907) 202-9230
- NPI assigned
- May 31, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- CLARITY COUNSELING SERVICES OF ALASKA INC
Authorized official
- Name
- Claire Gelvin-Smith, LPCS
- Title
- Owner
- Phone
- (907) 322-2019
Parent organization (reported in NPPES) 1
Practitioners 2
-
Claire V Gelvin-Smith, MA, M.ED
National Provider Directory
- Part of
- Clarity Counseling Services of Alaska Inc
Locations
1431 Gillam Way
Fairbanks, AK 99701
Phone (907) 322-3033
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
1431 Gillam Way
Fairbanks, AK 99701-6043
Mailing address
PO Box 61046
Fairbanks, AK 99706-1046
Phone (907) 322-3033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356835144 | Other | AK | LICENSED PROFESSIONAL COUNSELOR |
| 1891294617 | Other | AK | LICENSED PROFESSIONAL COUNSELOR |
Other names
- Catalyst Counseling & Wellness Group
NPI Registry JSON
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717113600000",
"number": "1841031283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61046",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997061046",
"telephone_number": "907-322-3033",
"fax_number": "907-202-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 GILLAM WAY",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997016043",
"telephone_number": "907-322-3033",
"fax_number": "907-202-9230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATALYST COUNSELING & WELLNESS GROUP INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLARITY COUNSELING SERVICES OF ALASKA INC",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A",
"authorized_official_last_name": "GELVIN-SMITH",
"authorized_official_first_name": "CLAIRE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-322-2019",
"authorized_official_credential": "LPCS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "1356835144",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "1891294617",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Catalyst Counseling & Wellness Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairbanks, AK
- Pedro Castex
- Corina Castillo
- Mehll Langit Castillo
- Valeria C Castro
- Laura Catalano
- William Frank Catelli II
- Katherine Joan Caudill
- Shannon Cavanaugh
- Rebecca Ann Cave-Mansker
- Jasmine Lanay Patrice Cavitt-Newton
All providers in Fairbanks, AK · Mental Health 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 May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.