Healthcare Provider Details

I. General information

NPI: 1730487539
Provider Name (Legal Business Name): L. JENAE MACNAUGHTON LMHC, LPC, LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: L. JENAE HENRY LMHC, LPC

II. Dates (important events)

Enumeration Date: 03/03/2011
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 W NORTHERN LIGHTS BLVD # 91196
ANCHORAGE AK
99517-3315
US

IV. Provider business mailing address

PO BOX 91196
ANCHORAGE AK
99509-1196
US

V. Phone/Fax

Practice location:
  • Phone: 844-414-6737
  • Fax: 877-560-9702
Mailing address:
  • Phone: 844-414-6737
  • Fax: 877-560-9702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLH00011334
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10692468-6004
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number138938
License Number StateAK
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC4128
License Number StateOR
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLH00011334
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-MH30521
License Number StateSD
# 7
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC5032
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: