Active NPI
Jennifer Amanda Casurella, MA, LPC
- Professional Counselor
- Anchorage, AK
National Provider Identifier
1881727196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 523
- Practice address
- 517 W Northern Lights Blvd
Anchorage, AK 99503-2503 - Phone
- (907) 885-0990
- NPI assigned
- Mar 14, 2007
- Last updated
- Nov 16, 2016
- 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 | 523 | AK | Primary |
Addresses
Primary practice location
517 W Northern Lights Blvd
Anchorage, AK 99503-2503
Mailing address
PO Box 241361
Anchorage, AK 99524-1361
Phone (907) 885-0990
Other names 1
- Mandy Casurella
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 523 | AK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1881727196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241361",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995241361",
"telephone_number": "907-885-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 W NORTHERN LIGHTS BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032503",
"telephone_number": "907-885-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASURELLA",
"first_name": "JENNIFER",
"middle_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANDY",
"last_name": "CASURELLA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.