Individual provider Active NPI

Aleta S. Vail, LMFT

  • Marriage & Family Therapist
  • Anchorage, AK
National Provider Identifier
1891901203
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204 Issued in 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
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204 AK Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160321000212 VT Practitioner - Clinical Psychologist 6901114057 Practice locations: Burlington, VT

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
204AKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Fallin, M.S. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891901203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 DENALI ST",
            "address_2": "SUITE 1608",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032736",
            "telephone_number": "907-336-4357",
            "fax_number": "907-278-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 DENALI ST",
            "address_2": "SUITE 1608",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032736",
            "telephone_number": "907-336-4357",
            "fax_number": "907-278-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIL",
        "first_name": "ALETA",
        "middle_name": "S.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AK",
            "license": "204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.