MS. JENNIFER JULIANA SWANBERG NPI 1891911004

NPI Information

NPI: 1891911004
Provider Name: MS. JENNIFER JULIANA SWANBERG
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
780 S SNODGRASS DR
PALMER, AK
ZIP 99645
Phone: (907) 671-6871
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MS. Jennifer Juliana Swanberg is a professional counselor in Palmer, AK. MS. Jennifer Juliana Swanberg NPI is 1891911004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

780 S SNODGRASS DR
PALMER, AK
ZIP 99645-149
Phone: (907) 671-6871

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		NCC 34245		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MAC 34245		No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDC II 3257	ALASKA	No
4	101YM0800X	Counselor	Mental Health	0190131	NEW MEXICO	No
5	101YP2500X	Counselor	Professional	402	ALASKA	Yes
6	101YP2500X	Counselor	Professional	LCPC-318	IDAHO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CM 1600651	MEDICAID	ALASKA
2	CMG 1632613	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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