Active NPI
Jennifer Juliana Swanberg
- Professional Counselor
- Anchorage, AK
National Provider Identifier
1891911004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 402
- Practice address
- 540 W International Airport Rd
Anchorage, AK 99518-1105 - Phone
- (907) 561-5335
- Fax
- (907) 564-7429
- NPI assigned
- Apr 17, 2007
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 402 | AK | Primary |
| Counselor | 101Y00000X | NCC 34245 | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDC II 3257 | AK | |
| Professional Counselor | 101YP2500X | LCPC-318 | ID | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MAC 34245 | ||
| Mental Health Counselor | 101YM0800X | 0190131 | NM |
Addresses
Primary practice location
540 W International Airport Rd
Anchorage, AK 99518-1105
Mailing address
540 W International Airport Rd
Anchorage, AK 99518-1105
Phone (907) 561-5335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDC II 3257 | AK | MD | Addiction (Substance Use Disorder) Counselor |
| 0190131 | NM | MD | Mental Health Counselor |
| LCPC-318 | ID | MD | Professional Counselor |
| 402 | AK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1891911004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 W INTERNATIONAL AIRPORT RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995181105",
"telephone_number": "907-561-5335",
"fax_number": "907-564-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 W INTERNATIONAL AIRPORT RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995181105",
"telephone_number": "907-561-5335",
"fax_number": "907-564-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANBERG",
"first_name": "JENNIFER",
"middle_name": "JULIANA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "402",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "NCC 34245",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AK",
"license": "CDC II 3257",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-318",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": "MAC 34245",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0190131",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.