ANDREW ANTHONY LARA


Address: 1825 Marika Rd, Fairbanks, AK 99709-5521
Phone: 9074880890

ANDREW ANTHONY LARA (NPI# 1073130720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073130720
Entity Type Individual
Full Name ANDREW ANTHONY LARA
Practice Address 1825 Marika Rd
Fairbanks
AK 99709-5521
Practice Telephone 9074880890
Practice Fax Number 9074743621
Mailing Telephone 9074740890
Mailing Fax Number 9074743621
Enumeration Date 2020-06-29
Last Update Date 2020-06-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK MH3237 05

Office Location

Street Address 1825 MARIKA RD
City FAIRBANKS
State AK
Zip Code 99709-5521

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225099765 Richard Calvin Brown Jr. Psychiatry & Neurology 1825 Marika Rd, Fairbanks, AK 99709-5521 2006-03-31
1336765114 Kevin Johnson Jr. Behavior Technician 1825 Marika Rd, Fairbanks, AK 99709-5521 2020-06-17
1346865565 Joshua Vazquez Gonzalez Behavior Technician 1825 Marika Rd, Fairbanks, AK 99709-5521 2020-06-12
1194354639 Mark Dinelt Case Manager/Care Coordinator 1825 Marika Rd, Fairbanks, AK 99709-5521 2020-04-06
1487286860 John Walter Flynn Case Manager/Care Coordinator 1825 Marika Rd, Fairbanks, AK 99709-5521 2020-02-04
1962033282 Family Centered Services of Alaska Clinic/Center 1825 Marika Rd, Fairbanks, AK 99709-5521 2020-01-27
1881224301 Jheri Rea Bock Behavioral Analyst 1825 Marika Rd, Fairbanks, AK 99709-5521 2020-01-23
1922638527 Tracy Mcdonald-ofeldt Case Manager/Care Coordinator 1825 Marika Rd, Fairbanks, AK 99709-5521 2020-01-22
1528602869 Noah Harris Counselor 1825 Marika Rd, Fairbanks, AK 99709-5521 2019-10-30
1861034373 Whitney Mclaren Counselor 1825 Marika Rd, Fairbanks, AK 99709-5521 2019-10-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255946810 Beacon Monitoring Professional Services Technician, Other 745 Staffordshire Rd, Fairbanks, AK 99709 2020-09-10
1235629544 Fairbanks Healing Space Health Educator 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 2018-05-11
1609395409 Shawn K Goggins Counselor 1423 Peger Road, Fairbanks, AK 99709 2017-09-12
1710433347 Jay Titus Technician/Technologist 2884 Marina Drive, Fairbanks, AK 99709 2016-09-01
1710391610 Hannah Summerfelt Dentist 3539 Thomas St, Fairbanks, AK 99709 2014-06-18
1629407325 Diane Louise Mitchell Nurse Practitioner 4650 Harvard Cir, Fairbanks, AK 99709 2013-11-04
1407147929 Christina Martz Counselor 1270 Summet Drive, Fairbanks, AK 99709 2011-05-02
1255652285 Surgery Center of Fairbanks LLC Clinic/Center 2310 Peger Road, Fairbanks, AK 99709 2010-06-14
1962661835 John Leo Hughes Jr Jr. Dentist 3437 Airport Way, Suite 205, Fairbanks, AL 99709 2008-06-05
1508042417 Katherine E Johnson, Md PC Ophthalmology 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 2008-01-10
Find all providers in zip 99709

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326674706 Emily Low Counselor 1569 La Rue Ln, Fairbanks, AK 99709-6671 2020-03-18
1215578703 Jesse Brooks Counselor 1203 26th Ave, Fairbanks, AK 99701-6832 2019-10-05
1548818008 Tamela Eleasia Edwards Counselor 946 Cowles St Ste 106, Fairbanks, AK 99701-4381 2019-08-28
1538713946 John Moses Counselor 4027 Birch Ln, Fairbanks, AK 99709-3517 2019-07-25
1124687140 Galdys Duncan Counselor 122 1st Ave Ste 6001221, Fairbanks, AK 99701-4871 2019-06-12
1902461957 Jacqueline Marie Rahm Counselor Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 2019-05-06
1851854798 Siena Counseling, LLC Counselor 565 University Ave Ste 4, Fairbanks, AK 99709-3688 2019-04-08
1588134381 Birch Tree Counseling LLC Counselor 600 University Ave Ste 6, Fairbanks, AK 99709-3651 2018-12-05
1669967451 Jennifer Hood Lpc, LLC Counselor 626 2nd St Ste 103, Fairbanks, AK 99701-3466 2018-06-25
1922590918 Kathryn Chatterton Mallory Counselor 318 Slater St, Fairbanks, AK 99701-2923 2018-06-05
Find all providers in FAIRBANKS

Competitor

Search similar providers

City FAIRBANKS
Zip Code 99709

Improve Information

Please comment or provide details below to improve the information on ANDREW ANTHONY LARA.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches