MEDICARE: MARY ELKINS LPC, LPCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	207427	AK
2	101YM0800X	Mental Health Counselor	182614	AK
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	4679	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871147520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELKINS LPC, LPCS

Provider Business Mailing Address
First Line	:	PO BOX 90574
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99509-0574
Country	:	US
Telephone Number	:	907-331-0576
Fax Number	:	800-511-7484

Provider Business Practice Location Address
First Line	:	341 W TUDOR ROAD, SUITE 209
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-6648
Country	:	US
Telephone Number	:	907-331-0576
Fax Number	:	800-511-7484

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2019
Last Update Date	:	04/21/2026

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Directions to “ MARY ELKINS LPC, LPCS” Practice Location

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