1. Home
  2. Directory
  3. Alaska
  4. Fairbanks
  5. Social Worker
  6. NPI Profile

KINTSUGI COUNSELING LLC
NPI 1306586961
Social Worker - Clinical in Fairbanks, AK

Active since March 31, 2022
1305 21ST AVE STE 204, FAIRBANKS, AK 99701(907) 474-0059 Get Directions Write a Review

NPPES record last updated: April 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kintsugi Counseling Llc NPPES

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

KINTSUGI COUNSELING LLC (NPI 1306586961) is a healthcare organization registered as a clinical in Fairbanks, Alaska and active in the NPI registry since March 2022. The organization lists Virginia Redmond, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1306586961
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKINTSUGI COUNSELING LLC
Location Address1305 21ST AVE STE 204Fairbanks, AK 99701-6084
Mailing Address1305 21st Ave Ste 204Fairbanks, AK 99701-6084
Phone(907) 474-0059
Organization SubpartNo
Authorized OfficialVirginia RedmondCo-owner · (907) 474-0059
Enumeration DateMarch 31, 2022
Last NPPES UpdateApril 6, 2025
NPPES CertifiedApril 6, 2025
✔ NPI 1306586961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1305 21ST AVE STE 204, Fairbanks, AK 99701
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

VIRGINIA C S REDMOND
Social Worker (Clinical)
1305 21ST AVE STE 204
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 474-0059
EISENMAN SPEECH THERAPY, LLC
Speech-Language Pathologist
1305 21ST AVE STE 204
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 621-7060

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 Kintsugi Counseling LLC's NPI number?

The NPI number for Kintsugi Counseling LLC is 1306586961. It was assigned to this organization in the NPPES registry on March 31, 2022.

Where is Kintsugi Counseling LLC located?

Kintsugi Counseling LLC is located at 1305 21st Ave Ste 204, Fairbanks, AK 99701. The listed phone number is (907) 474-0059.

What is Kintsugi Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kintsugi Counseling LLC was last updated on April 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.