MS. JUDITH GOTTSCHALK (NPI# 1215266648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215266648 |
| Entity Type | Individual |
| Full Name | MS. JUDITH GOTTSCHALK |
| Credential | LPC |
| Practice Address |
2737 Bonanza Trail Fairbanks AK 99708-5091 |
| Mailing Address |
Po Box 85091 Fairbanks AK 99708-5091 |
| Practice Telephone | 9074554117 |
| Mailing Telephone | 9074554117 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 104 | AK | Behavioral Health & Social Service Providers |
| Street Address |
2737 BONANZA TRAIL |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99708-5091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225781 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 44 College Rd Ste B, Fairbanks, AK 99701-1706 | 2020-11-02 |
| 1073113874 | Harmony Speech and Language Therapy | Speech-Language Pathologist | 3891 Ridgeview Dr, Fairbanks, AK 99709-2717 | 2020-10-30 |
| 1356949622 | Adam Weis | Student in an Organized Health Care Education/Training Program | 3112 Airport Way Ste 1, Fairbanks, AK 99709-4768 | 2020-10-09 |
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1104439512 | Maggie Wright Slp, LLC | Speech-Language Pathologist | 1222 Well St Unit 8/9, Fairbanks, AK 99701-2881 | 2020-08-25 |
| 1790397461 | Hannah S Ross | Massage Therapist | 776 Bullion Dr, Fairbanks, AK 99712-2035 | 2020-08-23 |
| 1104438365 | Jalon Alexander Mccullough | Counselor | 542 4th Ave Ste B-101, Fairbanks, AK 99701-4707 | 2020-08-19 |
| 1134739485 | Alcan Medical Group LLC | 751 Old Richardson Hwy Ste 203, Fairbanks, AK 99701-7805 | 2020-08-02 | |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| Find all providers in FAIRBANKS | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003231739 | Susan E Stanton | Counselor | 480 University Ave, Fairbanks, AK 99709-3639 | 2014-03-04 |
| 1144591330 | Larry Chalcraft II | Counselor | 1825 Marika, Fairbanks, AK 99709-5521 | 2012-01-19 |
| 1174849632 | Stephanie Majors | Counselor | 477 Marshall Dr, Fairbanks, AK 99712-1333 | 2010-04-08 |
| 1194857326 | Jennifer Ann Danhauser | Counselor | 565 University Ave., Ste. #4, Fairbanks, AK 99709-3688 | 2007-03-12 |
| 1568593556 | Miriam Anne Titus | Counselor | 201 1st Ave Ste 300, Fairbanks, AK 99701-4848 | 2007-03-08 |
| 1679613889 | Joan Soutar | Counselor | 620 5th Ave, Fairbanks, AK 99701 | 2007-02-07 |
| 1194862128 | Margaret A Dodge | Counselor | 1417 Mac Farland, Fairbanks, AK 99709-7530 | 2007-01-31 |
| 1780721001 | George Roy Kirchner Jr. | Counselor | 626 2nd St Ste 201a, Fairbanks, AK 99701-3466 | 2007-01-30 |
| 1851447973 | Ligia Maria Novcaski | Counselor | 620 5th Avenue, Fairbanks, AK 99701 | 2007-01-25 |
| 1114530003 | Judith Florence Evans | Counselor | 3100 S Cushman St, Fairbanks, AK 99701-7516 | 2020-08-28 |
| Find all providers in FAIRBANKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.