INTERIOR ALASKA DBT & COUNSELING, LLC
NPI 1467044123
Community/Behavioral Health in Fairbanks, AK

NPI Status: Active since February 04, 2021

Contact Information

565 UNIVERSITY AVE STE 4
FAIRBANKS, AK
ZIP 99709
Phone: (907) 712-7667
Fax: (907) 202-8341

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About INTERIOR ALASKA DBT & COUNSELING, LLC

This page provides the complete NPI Profile along with additional information for Interior Alaska Dbt & Counseling, Llc, a provider established in Fairbanks, Alaska operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1467044123 assigned on February 2021. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. John M Worrall Ph.d. (Psychologist)

NPI
1467044123
Provider Name
INTERIOR ALASKA DBT & COUNSELING, LLC
Entity Type
Organization
Location Address
565 UNIVERSITY AVE STE 4 FAIRBANKS, AK 99709
Location Phone
(907) 712-7667
Location Fax
(907) 202-8341
Mailing Address
PO BOX 70485 FAIRBANKS, AK 99707
Mailing Phone
(907) 712-7667
Mailing Fax
(907) 202-8341
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2021
Last Update Date
02-04-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Pioneer Alaska Standard Bronze - PPO
  • Moda Pioneer Alaska Standard Gold - PPO
  • Moda Pioneer Alaska Standard Silver - PPO
  • Moda Pioneer Bronze 6500 - PPO
  • Moda Pioneer Bronze HDHP 5500 - PPO
  • Moda Pioneer Gold 1500 - PPO
  • Moda Pioneer Silver 4500 - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN M WORRALL PH.D.

Authorized Official Title
PSYCHOLOGIST
Authorized Official Phone
(907) 712-7667

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467044123
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412704814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 0 + 4 + 8 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1467044123 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770734857 MARIEL MITCHELL OTT GEBHARDT LCSW
Individual
Counselor (Mental Health)565 UNIVERSITY AVE STE 4
FAIRBANKS, AK 99709
(907) 251-7664

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467044123, enumerated in the NPI registry as an "organization" on February 04, 2021

The provider is located at 565 University Ave Ste 4 Fairbanks, Ak 99709 and the phone number is (907) 712-7667

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 04, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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