Raymond A Gauthier

Individual provider Active NPI Mental Health Counselor · Anchorage, AK

NPI 1942808233 · NPPES record last updated Oct 9, 2020

Key facts

NPI
1942808233
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
6401 A St
Anchorage, AK 99518-1824
Phone
(907) 980-0887
NPI assigned
Oct 9, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

6401 A St
Anchorage, AK 99518-1824

Mailing address

6401 A St
Anchorage, AK 99518-1824
Phone (907) 980-0887

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 9, 2020.

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1942808233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 A ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181824",
            "telephone_number": "907-980-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 A ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181824",
            "telephone_number": "907-980-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "RAYMOND",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

All providers in Anchorage, AK · Mental Health Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.