Individual provider Active NPI

Deven Watsjold, LPC

  • Professional Counselor
  • Anchorage, AK
National Provider Identifier
1922840560
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
210422 Issued in AK
Practice address
810 W 2ND Ave
Anchorage, AK 99501-2018
Phone
(907) 444-5641
Fax
(907) 531-7371
NPI assigned
Jun 12, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 210422 AK Primary

Addresses

Primary practice location

810 W 2ND Ave
Anchorage, AK 99501-2018

Mailing address

810 W 2ND Ave
Anchorage, AK 99501-2018
Phone (907) 444-5641

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

LicenseStateTypeSpecialty
210422AKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karuna Counseling, LLC Professional CurrentSince Jun 16, 2024 Accepting new patients

Locations

810 W 2nd Ave
Anchorage, AK 99501
Phone (907) 444-5641

500 N Main St
Ste E
Wasilla, AK 99654
Phone (907) 313-8049

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": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1922840560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W 2ND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012018",
            "telephone_number": "907-444-5641",
            "fax_number": "907-531-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W 2ND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012018",
            "telephone_number": "907-444-5641",
            "fax_number": "907-531-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSJOLD",
        "first_name": "DEVEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "210422",
            "primary": true
        }
    ],
    "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 Jun 12, 2024; 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.