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MARY BOSTON
NPI 1780937912
Counselor - Mental Health in Fairbanks, AK

Active since October 25, 2012
3830 S CUSHMAN ST, FAIRBANKS, AK 99701(907) 452-1575 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Boston NPPES

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

MARY BOSTON (NPI 1780937912) is an individual mental health provider in Fairbanks, Alaska and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1780937912
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY BOSTON
Location Address3830 S CUSHMAN STFairbanks, AK 99701-7530
Mailing Address3830 S Cushman StFairbanks, AK 99701-7530 · (907) 452-1575
Phone(907) 452-1575
Sole ProprietorYes
Enumeration DateOctober 25, 2012
✔ NPI 1780937912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3830 S CUSHMAN ST, Fairbanks, AK 99701
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Other Identifiers 2

Medicare PINK0000WCHCPAK
MedicaidMH0157AK

Other Providers at the Same Location NPPES 20

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

MR. ROBERT MITCHELL RICKSON JR.
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
MS. PAULINE LIAN B.A.
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
TAMMY SUE KORB
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
FAIRBANKS COMMUNITY BEHAVIORAL HEALTH CENTER
Community/Behavioral Health
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
LENORA STOCKTON SEAY
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC
Community/Behavioral Health
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
MR. TYLER ANDREW MATLOCK
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-5304
GLEN STONE
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-5304

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 Mary Boston's NPI number?

The NPI number for Mary Boston is 1780937912. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Mary Boston located?

Mary Boston practices at 3830 S Cushman St, Fairbanks, AK 99701. The listed phone number is (907) 452-1575.

What is Mary Boston'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 Mary Boston was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.