PATRICIA JEAN PRETORIUS (NPI# 1396345104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396345104 |
| Entity Type | Individual |
| Full Name | PATRICIA JEAN PRETORIUS |
| Practice Address |
102 Elderberry Street Old Harbor AK 99643 |
| Mailing Address |
Po Box 72 Old Harbor AK 99643-0072 |
| Practice Telephone | 9072862205 |
| Mailing Telephone | 9074861384 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
102 ELDERBERRY STREET |
| City | OLD HARBOR |
| State | AK |
| Zip Code | 99643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982831350 | Billy David Shortland | Community Health Worker | 214 Ding How Lane, Box 51, Old Harbor, AK 99643 | 2009-06-12 |
| 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 |
|---|---|---|---|---|
| 1265039606 | Joshua Lund | Counselor | 112 Federal Way # 1667, Wrangell, AK 99929-9800 | 2020-10-08 |
| 1013529247 | Faith Marie Peters | Counselor | Solar Circle #2, Tanana, AK 99777 | 2020-08-19 |
| 1790395218 | Julia Rodriguez | Counselor | 1410 Calista Drve, Bethel, AK 99559-0528 | 2020-08-10 |
| 1003426776 | Cynthia Rose Agnes | Counselor | 41 Sis St, Nulato, AK 99765-0056 | 2020-08-06 |
| 1780294934 | Charmaine Shay Isaac | Counselor | Tetlin Health Clinic, Tetlin, AK 99780 | 2020-08-03 |
| 1972126613 | Barlow Therapy | Counselor | 34848 Laura Ln, Soldotna, AK 99669-8827 | 2020-05-28 |
| 1700409471 | Evangeline Tofa Lemaota | Counselor | 4960 Est. 43rd, B3, Anchorage, AK 99508-9950 | 2020-05-28 |
| 1154950350 | Stephen Jay Foreman | Counselor | 1944 E Rezanof Dr, Kodiak, AK 99615-6601 | 2020-04-08 |
| 1316574015 | Hilary Young | Counselor | 11909 Glacier Hwy Apt 305, Juneau, AK 99801-8790 | 2020-03-24 |
| 1801446042 | Letia Sophia Stermer | Counselor | 16 A Street, Ekwok, AK 99580 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
| City | OLD HARBOR |
| Zip Code | 99643 |
Please comment or provide details below to improve the information on PATRICIA JEAN PRETORIUS.
| 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.