Organization provider

BOREALIS BEHAVIORAL HEALTH

Marriage & Family Therapist Psychiatric/Mental Health Nurse Practitioner Medicare enrolled

BOREALIS BEHAVIORAL HEALTH is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1508121096, based in Palmer, AK. The organization lists 2 taxonomy classifications, with Marriage & Family Therapist recorded as primary.

Getting there

The practice address on file is 634 S BAILEY ST SUITE 207, Palmer, AK 99645. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

634 S BAILEY ST SUITE 207, Palmer, AK 99645 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
86 AK Marriage & Family Therapist
241 AK Psychiatric/Mental Health Nurse…
77 AK Marriage & Family Therapist primary

This provider holds licence 86 issued in AK. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
4880831965
Enrollment ID
O20130508000679

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Marriage & Family Therapist covers

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. NUCC Health Care Provider Taxonomy, code 106H00000X
Behavioral Health & Social Service Providers Marriage & Family Therapist

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
106H00000X Marriage & Family Therapist 86 AK
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 241 AK
106H00000X Marriage & Family Therapist 77 AK primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1508121096 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJul 10, 2012
Last updatedJul 10, 2012
StatusActive
Practice address 634 S BAILEY ST
SUITE 207
Palmer, AK 99645
(907) 745-7080
Fax (907) 745-6263
This record was last updated on Jul 10, 2012, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1508121096 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 0 8 1 2 1 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 0 8 2 2 2 0 9

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1508121096?
NPI 1508121096 is the National Provider Identifier assigned to BOREALIS BEHAVIORAL HEALTH in Palmer, AK. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Marriage & Family Therapist cover?
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state…
How do I contact BOREALIS BEHAVIORAL HEALTH?
The phone number on file with NPPES is (907) 745-7080, last updated Jul 10, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does BOREALIS BEHAVIORAL HEALTH accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1508121096 a valid number?
Yes. 1508121096 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.