DESIREE NIEDERER L.P.C.
NPI 1164817169
Counselor - Professional in Eagle River, AK

Active since April 06, 2015PECOS Enrolled
17105 PARK PLACE ST, EAGLE RIVER, AK 99577(907) 622-1002(907) 622-8808 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Desiree Niederer L.p.c. NPPES

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

DESIREE NIEDERER L.P.C. (NPI 1164817169) is an individual professional provider in Eagle River, Alaska, licensed in Alaska (790) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164817169
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDESIREE NIEDERERCredential: L.P.C.
Location Address17105 PARK PLACE STEagle River, AK 99577-7821
Mailing Address17105 Park Place StEagle River, AK 99577-7821 · (907) 622-1002 · Fax (907) 622-8808
Fax(907) 622-8808
Sole ProprietorNo
Enumeration DateApril 6, 2015
NPI 1164817169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AK · 790
17105 PARK PLACE ST, Eagle River, AK 99577

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Desiree Niederer L.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Community/Behavioral Health
17105 PARK PLACE ST
EAGLE RIVER, AK 99577
Social Worker (Clinical)
17105 PARK PLACE ST
EAGLE RIVER, AK 99577
Counselor (Mental Health)
17105 PARK PLACE ST
EAGLE RIVER, AK 99577

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 Desiree Niederer's NPI number?

The NPI number for Desiree Niederer is 1164817169. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Desiree Niederer located?

Desiree Niederer practices at 17105 Park Place St, Eagle River, AK 99577. The listed phone number is (907) 622-1002.

What is Desiree Niederer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Desiree Niederer enrolled in Medicare?

Yes. Desiree Niederer is registered in the Medicare PECOS enrollment system.

What insurance does Desiree Niederer accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Desiree Niederer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Desiree Niederer was last updated on April 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.