Susitna Marital Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT 26 Issued in AK

Legal business name

SUSITNA MARITAL COUNSELING

Practice address

2600 Denali St Ste 606
Anchorage, AK 99503-2754

Phone

(907) 351-3223

Fax

(907) 272-9726

NPI assigned

Apr 14, 2011

Last updated

Apr 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Gene Holman, LMFT

Title

Owner

Phone

(907) 351-3223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1881984573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DENALI ST STE 606",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032754",
            "telephone_number": "907-351-3223",
            "fax_number": "907-272-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DENALI ST STE 606",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032754",
            "telephone_number": "907-351-3223",
            "fax_number": "907-272-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSITNA MARITAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-351-3223",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AK",
            "license": "LMFT 26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diedra Sutton, LPN

• Marriage & Family Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Marriage & Family Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.