ERIK EDENSHAW
NPI 1013284017
Counselor - Mental Health in Fairbanks, AK

Active since November 19, 2011
615 BIDWILL AVE STE 103, FAIRBANKS, AK 99701(907) 452-1648 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erik Edenshaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIK EDENSHAW (NPI 1013284017) is an individual mental health provider in Fairbanks, Alaska and active in the NPI registry since November 2011. He maintains a secondary practice location in Kotzebue.

NPPES Registry Identity

NPI1013284017
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameERIK EDENSHAW
Location Address615 BIDWILL AVE STE 103Fairbanks, AK 99701-7587
Mailing Address425 Mckinley View DrFairbanks, AK 99712-1329 · (907) 306-6186
Sole ProprietorYes
Enumeration DateNovember 19, 2011
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
NPI 1013284017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
615 BIDWILL AVE STE 103, Fairbanks, AK 99701

Secondary Practice Location 1

Location 1733 second avenueKotzebue, AK 99752-0571 · Phone (907) 442-7647

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
615 BIDWILL AVE STE 103
FAIRBANKS, AK 99701
Peer Specialist
615 BIDWILL AVE STE 103
FAIRBANKS, AK 99701
Counselor (Mental Health)
615 BIDWILL AVE STE 103
FAIRBANKS, AK 99701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erik Edenshaw's NPI number?

The NPI number for Erik Edenshaw is 1013284017. It was assigned to this individual provider in the NPPES registry on November 19, 2011.

Where is Erik Edenshaw located?

Erik Edenshaw practices at 615 Bidwill Ave Ste 103, Fairbanks, AK 99701. The listed phone number is (907) 452-1648.

What is Erik Edenshaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Erik Edenshaw was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.