Active NPI
Leann Renick
- Addiction (Substance Use Disorder) Counselor
- Palmer, AK
National Provider Identifier
1952961807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 561 S Denali St Ste F
Palmer, AK 99645-6464 - Phone
- (907) 707-1291
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
561 S Denali St Ste F
Palmer, AK 99645-6464
Mailing address
360 W Benson Blvd Ste 300
Anchorage, AK 99503-3953
Phone (907) 565-1200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1952961807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 W BENSON BLVD STE 300",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995033953",
"telephone_number": "907-565-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 S DENALI ST STE F",
"city": "PALMER",
"state": "AK",
"postal_code": "996456464",
"telephone_number": "907-707-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENICK",
"first_name": "LEANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.