Provider Demographics
NPI:1942862149
Name:RINGSTAD, JAIME NICOLE (EDD, LPC, MAC)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:NICOLE
Last Name:RINGSTAD
Suffix:
Gender:F
Credentials:EDD, LPC, MAC
Other - Prefix:DR
Other - First Name:JAIME
Other - Middle Name:NICOLE
Other - Last Name:RINGSTAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDD, LPC, MAC
Mailing Address - Street 1:2111 COWLES ST
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-5918
Mailing Address - Country:US
Mailing Address - Phone:907-458-2634
Mailing Address - Fax:907-459-3527
Practice Address - Street 1:2111 COWLES ST
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-5918
Practice Address - Country:US
Practice Address - Phone:907-458-2644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist