MRS. MICHELLE DIAZ NAZARIO (NPI# 1053766212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053766212 |
Entity Type | Individual |
Full Name | MRS. MICHELLE DIAZ NAZARIO |
Credential | M.A |
Practice Address |
225 Front St Ste 202 Juneau AK 99801-1244 |
Practice Telephone | 5616168411 |
Practice Fax Number | 5616168412 |
Mailing Telephone | 9073644565 |
Mailing Fax Number | 9075864237 |
Enumeration Date | 2016-04-25 |
Last Update Date | 2020-01-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
225 FRONT ST STE 202 |
City | JUNEAU |
State | AK |
Zip Code | 99801-1244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205255957 | Front Street Health Center | Clinic/Center | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2014-04-09 |
1215534425 | Katie Dawn Jacobs | Case Manager/Care Coordinator | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2020-10-01 |
1629690789 | Olivia Salisbury Sinaiko | Counselor | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2020-05-12 |
1578109633 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2019-11-25 |
1962067447 | Lisa Houser | Case Manager/Care Coordinator | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2019-05-09 |
1306401070 | Todd C. Harper | Case Manager/Care Coordinator | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2019-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
Find all providers in zip 99801 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518564772 | Michelle Deboarh Burlin | Counselor | 3005 Clinton Dr Unit A4, Juneau, AK 99801-7167 | 2020-10-01 |
1962958843 | Corle Laforce-mcpherson | Counselor | 437 Park St, Juneau, AK 99801-1062 | 2016-08-30 |
1265655294 | Sylvia Marie Kidd | Counselor | 9000 Glacier Highway, Suite 204, Juneau, AK 99801-8097 | 2007-04-10 |
1164554887 | Community Christian Counseling Center | Counselor | 11024 Auke Lake Way, Juneau, AK 99801 | 2007-03-09 |
1205963832 | Margaret Ruth Telfer | Counselor | 3017 Clinton Dr, Suite 202, Juneau, AK 99801-7106 | 2007-02-28 |
1265597678 | Nancy S. Simpson | Counselor | 2270 Fritz Cove Rd, Juneau, AK 99801-8505 | 2006-12-26 |
1770199002 | Connie Lynn Schaaf | Counselor | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2020-09-22 |
1235775297 | Virginia Plett | Counselor | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-25 |
1508400896 | Brandon Kay Eubanks | Counselor | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-10-30 |
1548810831 | Frederick Yates | Counselor | 3406 Glacier Hwy, Juneau, AK 99801-7251 | 2019-09-18 |
Find all providers in JUNEAU |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.