Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kintsugi Counseling LLC

Organization Mental Health Counselor · NPI 1306586961

Kintsugi Counseling LLC is a Mental Health Counselor in Fairbanks, Alaska. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1305 21st Ave Ste 204
Fairbanks, AK 99701-6084
Phone: (907) 474-0059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1306586961
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virginia Redmond — Co-Owner · (907) 474-0059
NPI enumeratedMarch 31, 2022
Last updated in NPPESApril 6, 2025
Certification dateApril 6, 2025
Mailing address1305 21st Ave Ste 204, Fairbanks, AK 99701-6084

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