Individual provider Active NPI

Jaime Nicole Ringstad, ED.D., LPC, MAC

  • Mental Health Counselor
  • Fairbanks, AK
National Provider Identifier
1942862149
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
162728 Issued in AK
Practice address
2111 Cowles St
Fairbanks, AK 99701-5918
Phone
(907) 458-2644
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 162728 AK Primary
Professional Counselor 101YP2500X
Marriage & Family Therapist 106H00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Exercise & Sports Psychologist 103TE1100X

Addresses

Primary practice location

2111 Cowles St
Fairbanks, AK 99701-5918

Mailing address

2111 Cowles St
Fairbanks, AK 99701-5918
Phone (907) 458-2634

Other identifiers 1

IdentifierTypeStateIssuer
1762590MedicaidAK

Other names 1

  • Dr. Jaime Nicole Ringstad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206003049 AK Practitioner - Mental Health Counselor 2860835915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tanana Valley Clinic LLCGroup PAC ID 5698056901, 142 clinicians

Practice addresses (Care Compare)

2111 Cowles St
Fairbanks, AK 99701-5918
Phone (907) 458-2644

Hospital & facility affiliations

  • Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tanana Valley Clinic LLC CurrentSince Jan 1, 2024 Accepting new patients
Tanana Valley Clinic LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

1001 Noble St
Ste 1
Fairbanks, AK 99701
Phone (907) 459-3520

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

2111 Cowles St
Fairbanks, AK 99701
Phone (907) 457-4900

Interoperability endpoints

  • Direct secure messaging: jaime.sawchuk@direct.tananavalley.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1942862149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015918",
            "telephone_number": "907-458-2634",
            "fax_number": "907-459-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015918",
            "telephone_number": "907-458-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGSTAD",
        "first_name": "JAIME",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "ED.D., LPC, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "162728",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1762590",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "RINGSTAD",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "ED.D., LPC, MAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.