Active NPI
Evelyn Therese Bass, LPC, M.ED
- Professional Counselor
- Juneau, AK
National Provider Identifier
1851760813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 219524
- Practice address
- 174 S Franklin St Ste 211
Juneau, AK 99801-1362 - Phone
- (907) 957-6459
- NPI assigned
- Sep 21, 2015
- Last updated
- Sep 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 219524 | AK | Primary |
Addresses
Primary practice location
174 S Franklin St Ste 211
Juneau, AK 99801-1362
Mailing address
171 Shattuck Way Ste 211
Juneau, AK 99801-1366
Phone (907) 957-6459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912475260 | Other | EMPLOYER/SUPERVISOR'S NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 25, 2024 through Nov 25, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219524 | AK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1851760813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 SHATTUCK WAY STE 211",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998011366",
"telephone_number": "907-957-6459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 S FRANKLIN ST STE 211",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998011362",
"telephone_number": "907-957-6459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "EVELYN",
"middle_name": "THERESE",
"name_prefix": "Ms.",
"credential": "LPC, M.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "219524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER/SUPERVISOR'S NPI",
"identifier": "1912475260",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.