Maria Belozertseva, LPC

Individual provider Active NPI Professional Counselor · Anchorage, AK

NPI 1891436739 · NPPES record last updated Apr 5, 2022

Key facts

NPI
1891436739
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
189754 (AK)
Practice address
4801 Jumar Ave
Anchorage, AK 99516-2249
Phone
(907) 444-6574
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
189754AKMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 189754 AK Yes

Addresses

Primary practice location

4801 Jumar Ave
Anchorage, AK 99516-2249

Mailing address

4801 Jumar Ave
Anchorage, AK 99516-2249
Phone (907) 444-6574

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address maria@yogaformentalhealth.com Health Information Exchange (HIE)

Other providers in Anchorage, AK

All providers in Anchorage, AK · Professional Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.