Nicole Isabell Palacios

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

154220 Issued in AK

Practice address

133 Smith Way Unit C
Soldotna, AK 99669-8077

Phone

(907) 531-6047

NPI assigned

Feb 20, 2018

Sex

Female

Sole proprietor

No

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

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jovial Therapy Services LLC

  • Clinical Social Worker
  • Soldotna, AK
  • NPI 1992584585

  AK, Clinical

  Medicare reassignment NPD Authorized official
• Jovial Therapy Services LLC

  • Community/Behavioral Health Agency
  • Soldotna, AK
  • NPI 1477332054
  NPD Authorized official
• Kenai Peninsula Mental Health LLC

  • Professional Counselor
  • Soldotna, AK
  • NPI 1588135776
  NPD
• Mat-Su Mental Health LLC

  • Mental Health Counselor
  • Wasilla, AK
  • NPI 1245811819
  NPD

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1962902437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2653",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996692653",
            "telephone_number": "907-531-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 SMITH WAY UNIT C",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698077",
            "telephone_number": "907-531-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3228 Independence Rd",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812129380",
            "country_code": "US",
            "telephone_number": "719-275-2429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "443 S, CO-105",
            "address_purpose": "LOCATION",
            "city": "Palmer Lake",
            "state": "CO",
            "postal_code": "80133",
            "country_code": "US",
            "telephone_number": "719-602-0914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "NICOLE",
        "middle_name": "ISABELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001301",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926216",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "154220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthoalaska, LLC
• Rosa Marie Osborne
• Dana Lynn Oswald, APRN
• Delissa Kristina Owen
• Janel L Owens, CARE COORDINATOR
• Danny Frank Parazoo, RN
• Jayni E Parish
• Jeffrey Steven Parker, LCSW
• Christina Michelle Parnell
• Danita R Parrish

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.