Individual provider Active NPI

Sasha Ann Tsurnos, LMSW, PSPIII, CDCS

  • Mental Health Counselor
  • Wasilla, AK
National Provider Identifier
1972168029
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
207552 Issued in AK
Practice address
300 N. Willow St
Wasilla, AK 99654
Phone
(650) 278-6511
NPI assigned
May 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 207552 AK Primary

Addresses

Primary practice location

300 N. Willow St
Wasilla, AK 99654

Mailing address

6900 W Sandvik Dr
Wasilla, AK 99623-0504
Phone (650) 278-6511

Other practice location 1

2211 Arca Dr
Anchorage, AK 99508-3462
Phone (650) 278-6511

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

State licenses

LicenseStateTypeSpecialty
207552AKMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1972168029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 W SANDVIK DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230504",
            "telephone_number": "650-278-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N. WILLOW ST",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "650-278-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Arca Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995083462",
            "country_code": "US",
            "telephone_number": "650-278-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSURNOS",
        "first_name": "SASHA",
        "middle_name": "ANN",
        "credential": "LMSW, PSPIII, CDCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "207552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.