Active NPI
Claire V Gelvin-Smith, MA, M.ED
- Mental Health Counselor
- Fairbanks, AK
National Provider Identifier
1891294617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 165887
- Practice address
- 1867 Airport Way, Suite 230
Fairbanks, AK 99701-4054 - Phone
- (907) 322-3033
- NPI assigned
- Feb 7, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 165887 | AK | |
| Mental Health Counselor | 101YM0800X | 165887 | AK | Primary |
Addresses
Primary practice location
1867 Airport Way, Suite 230
Fairbanks, AK 99701-4054
Mailing address
PO Box 61046
Fairbanks, AK 99706-1046
Phone (907) 322-2019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 3, 2024 through Apr 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165887 | AK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Counseling & Wellness Group Inc | Mental Health | Current | Accepting new patients |
| Clarity Counseling Services of Alaska Inc | Mental Health | Current | Accepting new patients |
Locations
1867 Airport Way
Ste 230
Fairbanks, AK 99701
Phone (907) 322-3033
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Fairbanks, AK
- NPI 1841031283
Mental Health
-
- Mental Health Counselor
- Fairbanks, AK
- NPI 1952098691
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1891294617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61046",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997061046",
"telephone_number": "907-322-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1867 AIRPORT WAY, SUITE 230",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014054",
"telephone_number": "907-322-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELVIN-SMITH",
"first_name": "CLAIRE",
"middle_name": "V",
"name_prefix": "Mrs.",
"credential": "MA, M.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-07",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "165887",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AK",
"license": "165887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.