Active NPI
Misty Wilcox
- Mental Health Counselor
- Eagle River, AK
National Provider Identifier
1861895682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 153752
- Practice address
- 8012 Stewart Mountain Dr
Eagle River, AK 99577-9013 - Phone
- (907) 694-3336
- NPI assigned
- Oct 7, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-06973 | NM | |
| Mental Health Counselor | 101YM0800X | 153752 | AK | Primary |
| Clinical Social Worker | 1041C0700X | 153752 | AK |
Addresses
Primary practice location
8012 Stewart Mountain Dr
Eagle River, AK 99577-9013
Mailing address
2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Phone (907) 279-9640
Other practice location 1
2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Phone (907) 279-9640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153752 | AK | MD | Clinical Social Worker |
| I-06973 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1861895682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 CORDOVA ST STE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032745",
"telephone_number": "907-279-9640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8012 STEWART MOUNTAIN DR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995779013",
"telephone_number": "907-694-3336"
}
],
"practiceLocations": [
{
"address_1": "2600 Cordova St Ste 101",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995032745",
"country_code": "US",
"telephone_number": "907-279-9640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILCOX",
"first_name": "MISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-06973",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AK",
"license": "153752",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "153752",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.