Individual provider Active NPI

Claire V Gelvin-Smith, MA, M.ED

  • Mental Health Counselor
  • Fairbanks, AK
National Provider Identifier
1891294617
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
165887 Issued in AK
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

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
165887AKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Counseling & Wellness Group Inc Mental Health CurrentSince Jun 2, 2024 Accepting new patients
Clarity Counseling Services of Alaska Inc Mental Health CurrentSince Apr 23, 2023 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.

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

Verify at the official NPI Registry.