Brittney Punt

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100515 Issued in AK

Practice address

5730 E Pilgrim CT, St a
Wasilla, AK 99654-1419

Phone

(907) 357-6513

NPI assigned

Dec 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Olive Tree Counseling, Inc.

  • Professional Counselor
  • Wasilla, AK
  • NPI 1225268832

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1922463512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 E PILGRIM CT, ST A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 E PILGRIM CT, ST A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996541419",
            "telephone_number": "907-357-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNT",
        "first_name": "BRITTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AK",
            "license": "100",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "100515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Provision Ministries
• Psychiatric & Counseling Services
• Ptarmigan Connections, LLC
• Ptarmigan Pediatrics LLC
• Ptarmigan Psychiatry, LLC
• Cheryl Vanessa Puryear, MSCP
• Chandler John Putnam
• Roberta Pyrah
• Kathlene Kryn Qualls
• Queen Anne Avenue LLC

• All providers in Wasilla, AK
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.