Casey Ackerman, LCPC
Individual provider Active NPI Counselor · Wasilla, AK
NPI 1972137529 · NPPES record last updated Feb 22, 2020
Key facts
- NPI
- 1972137529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1075 S Check St Ste 208
Wasilla, AK 99654-8067 - Phone
- (907) 521-8504
- NPI assigned
- Feb 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refocus Counseling Ministry Incorporated | Current |
Accepting new patients |
Locations
1075 S Check St
Ste 208
Wasilla, AK 99654
Phone (907) 521-8504
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1075 S Check St Ste 208
Wasilla, AK 99654-8067
Mailing address
7470 E Sarasota Dr
Wasilla, AK 99654-4719
Phone (850) 293-9100
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.