Jacqueline Marie Rahm, (PHD), MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

615 Bidwill Ave Ste 103
Fairbanks, AK 99701-7587

Phone

(907) 452-6251

NPI assigned

May 6, 2019

Last updated

Sep 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Master of Arts

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1902461957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85164",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997085164",
            "telephone_number": "907-388-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BIDWILL AVE STE 103",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017587",
            "telephone_number": "907-452-6251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Family Centered Services of Alaska - RTC",
            "address_2": "3101 Lathrop St.",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "99701",
            "country_code": "US",
            "telephone_number": "907-459-4700 x4763",
            "fax_number": "907-459-4796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHM",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "(PHD), MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaneisha Radgosky
• Radiology Consultants a Professional Corp
• Ryle August Radke III, DDS
• Micky Ragsdale
• Brian James Rahm, LMT
• Francina M Raines
• Beverly Rainey, RN
• Teresa Marie Rains
• Sally Jane Rall, PSYD
• Tony Ramirez, BCBA, LBA

• Mental Health Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.