ANCHORAGE COMMUNITY MENTAL HEALTH (NPI# 1134173172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134173172 |
| Entity Type | Organization |
| Organization Name | ANCHORAGE COMMUNITY MENTAL HEALTH |
| Practice Address |
4020 Folker St Anchorage AK 99508-5321 |
| Practice Telephone | 9075631000 |
| Practice Fax Number | 9075632045 |
| Mailing Telephone | 9075631000 |
| Mailing Fax Number | 9075632045 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | JERRY A. JENKINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9072615310 |
| Authorized Official Credential | M.ED., MAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MH0159 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720335524 | Anchorage Community Mental Health | Community/Behavioral Health | 1000 E 4th Ave, Anchorage, AK 99501-2716 | 2012-08-10 |
| 1538389598 | Anchorage Community Mental Health | Clinic/Center | 4020 Folker St, Anchorage, AK 99508-5321 | 2007-05-01 |
| 1396964870 | Anchorage Community Mental Health | Clinic/Center | 4020 Folker St, Anchorage, AK 99508-5321 | 2007-04-24 |
| Street Address |
4020 FOLKER ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003822 | Jenna Laine Moretz | Technician, Pathology | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-11-05 |
| 1487254926 | Luke Bradley Offord | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-10-26 |
| 1053918268 | Christopher Michael Hindman | Registered Nurse | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-10-01 |
| 1346857158 | Tatiana Faletoi | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-25 |
| 1770199903 | Garreth Edwin | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-22 |
| 1922614320 | Linda Setterberg | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-21 |
| 1104431667 | Noryln L Aquino | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-11 |
| 1326652223 | Yannick Hodgin | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-08 |
| 1891305488 | Alisha Rukovishnikoff | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-08-07 |
| 1124637764 | Aemelia Snow | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002113 | Volunteers of America Alaska, Central Ms | Clinic/Center | 1405 E St, Anchorage, AK 99501-5047 | 2020-10-27 |
| 1811597065 | Volunteers of America Alaska, West Hs | Clinic/Center | 1700 Hillcrest Dr, Anchorage, AK 99517-1347 | 2020-10-27 |
| 1578163721 | Volunteers of America Alaska, Romig Ms | Clinic/Center | 2500 Minnesota Dr, Anchorage, AK 99503-2384 | 2020-10-27 |
| 1295335446 | Volunteers of America Alaska, Tyson Es | Clinic/Center | 2801 Richmond Ave, Anchorage, AK 99508-1099 | 2020-10-27 |
| 1063033959 | Volunteers of America Alaska, Bartlett Hs | Clinic/Center | 1101 Golden Bear Dr, Anchorage, AK 99504-6120 | 2020-05-01 |
| 1427679307 | Volunteers of America Alaska, Benny Ss | Clinic/Center | 4515 Campbell Airstrip Rd, Anchorage, AK 99507-1267 | 2020-05-01 |
| 1396366290 | Volunteers of America Alaska, East Hs | Clinic/Center | 4025 E Northern Lights Blvd, Anchorage, AK 99508-3588 | 2020-05-01 |
| 1720548035 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr Fl 5, Anchorage, AK 99508-5910 | 2019-03-22 |
| 1750854089 | Southcentral Foundation | Clinic/Center | 400 W Benson Blvd, Anchorage, AK 99503-3829 | 2019-01-09 |
| 1376056952 | Integrated Wellness and Recovery | Clinic/Center | 3820 Lake Otis Pkwy Ste 112, Anchorage, AK 99508 | 2017-11-06 |
| Find all providers in ANCHORAGE | ||||
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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.