Our Meadows LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OUR MEADOWS LLC

Practice address

12110 Business Blvd Ste 34
Eagle River, AK 99577-7741

Phone

(907) 726-3535

Fax

(907) 696-3430

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Doubek

Title

Partner/Ceo

Phone

(907) 726-3535

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Jennifer Euler, LPC, NCC

  • Mental Health Counselor
  • Eagle River, AK
  • NPI 1285704247
  NPD
• Trudy Reder, M.S.,L.P.C.

  • Mental Health Counselor
  • Eagle River, AK
  • NPI 1851625669
  NPD
• Derek Sandlin

  • Mental Health Counselor
  • Claremore, OK
  • NPI 1619142304
  NPD (past)

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1851925184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 BUSINESS BLVD",
            "address_2": "STE 34",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99577",
            "telephone_number": "907-726-3535",
            "fax_number": "907-696-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 BUSINESS BLVD STE 34",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777741",
            "telephone_number": "907-726-3535",
            "fax_number": "907-696-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR MEADOWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "DOUBEK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PARTNER/CEO",
        "authorized_official_telephone_number": "907-726-3535"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nancy J Ouimet, MD
• Chantel Lashaun Oukrop, O.D.
• Nicole V Ourso
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• Lea Palmer, RDN
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• Mental Health Counselor in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.