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 NPI 1891294617
Title
Owner
Phone
(907) 322-2019

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners 2

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

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)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
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

IdentifierTypeStateIssuer
1356835144OtherAKLICENSED PROFESSIONAL COUNSELOR
1891294617OtherAKLICENSED PROFESSIONAL COUNSELOR

Other names

  • Catalyst Counseling & Wellness Group Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 31, 2024.

{
    "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

All providers in Fairbanks, AK · Mental Health Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.