Aleta S. Vail, LMFT
Individual provider Active NPI Marriage & Family Therapist · Anchorage, AK
NPI 1891901203 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891901203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 204 (AK)
- Practice address
- 2550 Denali St
Suite 1608
Anchorage, AK 99503-2736 - Phone
- (907) 336-4357
- Fax
- (907) 278-3171
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3 Main St
Suite 216
Burlington, VT 05401-5216
Phone (802) 651-7514
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160321000212 | VT | Practitioner - Clinical Psychologist | 6901114057 | Practice locations: Burlington, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204 | AK | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathryn Fallin, M.S. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 204 | AK | Yes |
Addresses
Primary practice location
2550 Denali St
Suite 1608
Anchorage, AK 99503-2736
Mailing address
2550 Denali St
Suite 1608
Anchorage, AK 99503-2736
Phone (907) 336-4357
Other providers in Anchorage, AK
- Eva Vaaia
- Michelle Vaaia
- Tau Vaaia
- Fuamatala Vaifanua
- Tala Vaifanua
- Brianna Vaitului
- Timoteo Vaitului
- Michael Robert Valantas
- Gina Valdes
- Pedro Jimenez Valdes
All providers in Anchorage, AK · Marriage & Family Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.