Active NPI 1164817169 Individual Practitioner Female Practitioner

Desiree Niederer , LPC

Counselor - Professional • Eagle River, AK

Professional Overview & Biography Verified Profile Summary

Desiree Niederer, LPC is a registered healthcare professional specializing in Counselor - Professional in Eagle River, AK. Practice services are available at 17105 PARK PLACE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17105 Park Place St

Eagle River, AK 995777821

Telephone 9076221002

Fax 9076228808

Associated Practice Facility / Clinic

🏢 Peak Counseling Facility NPI 1336526367

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Eagle River, AK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.0 Yrs

State Avg: 15.3 Yrs

Regional Practice Density

20 Specialists

Practicing in Eagle River, AK (594 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AK 790

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Eric Unruh , LCSW

Social Worker - Clinical

NPI 1295786119

Licensed Clinical Social Worker

Dana Hall , MS, LPA, LPC

Counselor - Mental Health

NPI 1720108236

Master of Science, LPA, Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 06, 2015

Registered at 17105 PARK PLACE ST, EAGLE RIVER, AK 995777821 (Tel: 9076221002)

📍

Updated Business Mailing Address April 06, 2015

Registered at 17105 PARK PLACE ST, EAGLE RIVER, AK 995777821 (Tel: 9076221002)

👤

Provider Name / Credentials Updated April 06, 2015

Recorded as DESIREE NIEDERER, L.P.C.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2015

Counselor (License #790 in AK)

🟢

Initial NPI Registration & Enumeration April 06, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164817169

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 06, 2015

Last Update: April 06, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

17105 Park Place St

Eagle River, AK 995777821

Phone: 9076221002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.