THEODORE COOPER SUTTON (NPI# 1215119201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215119201 |
| Entity Type | Individual |
| Full Name | THEODORE COOPER SUTTON |
| Credential | FSWC I/COUNSELOR |
| Practice Address |
Main Street Bristol Bay Area Health Corporation Togiak Behavioral Health Program, Family Resource Bld. Togiak AK 99678-0409 |
| Mailing Address |
Bristol Bay Area Health Corporation Togiak Behavioral Health Program, P.o. Box 409 Togiak AK 99678-0409 |
| Practice Telephone | 9074935637 |
| Practice Fax Number | 9074935184 |
| Mailing Telephone | 9074935637 |
| Mailing Fax Number | 9074935184 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RHS CERTIFICATIO | AK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164490371 | Theodore Allyn Sutton | Chiropractor | 600 E 1st St, Ogallala, NE 69153-2717 | 2006-03-14 |
| Street Address |
MAIN STREET BRISTOL BAY AREA HEALTH CORPORATION TOGIAK BEHAVIORAL HEALTH PROGRAM, FAMILY RESOURCE BLD. |
| City | TOGIAK |
| State | AK |
| Zip Code | 99678-0409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942734850 | Stephanie Poulsen | Community Health Worker | 101 1st Ave, Togiak, AK 99678 | 2017-04-18 |
| 1093877680 | Bristol Bay Area Health Corporation | Clinic/Center | Main Street, Togiak, AK 99678 | 2006-12-14 |
| 1710294442 | Coupchiak Aviation, Inc. | Air Carrier | 0128 Airport Road, Togiak, AK 99678-0128 | 2010-09-01 |
| 1558747873 | Keilyn Margaret Carlos | Community Health Worker | Half Mile Airport Rd, Togiak, AK 99678-0195 | 2015-08-10 |
| 1962891283 | Bernice Toyukak | Community Health Worker | 311 Old Airport Road, Togiak, AK 99678-0311 | 2015-01-12 |
| 1598134132 | Arlene Fox | Counselor | #1 Kris Jane Street, Togiak, AK 99678-0409 | 2015-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942734850 | Stephanie Poulsen | Community Health Worker | 101 1st Ave, Togiak, AK 99678 | 2017-04-18 |
| 1558747873 | Keilyn Margaret Carlos | Community Health Worker | Half Mile Airport Rd, Togiak, AK 99678-0195 | 2015-08-10 |
| 1962891283 | Bernice Toyukak | Community Health Worker | 311 Old Airport Road, Togiak, AK 99678-0311 | 2015-01-12 |
| 1710294442 | Coupchiak Aviation, Inc. | Air Carrier | 0128 Airport Road, Togiak, AK 99678-0128 | 2010-09-01 |
| 1093877680 | Bristol Bay Area Health Corporation | Clinic/Center | Main Street, Togiak, AK 99678 | 2006-12-14 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003830 | Lauren Marie Bennett | Counselor | 1170 Marsh Laurel Ave, North Pole, AK 99705-5969 | 2020-11-05 |
| 1285234419 | Amanda Paulette Gannon | Counselor | 201 Deermount St Fl 2, Ketchikan, AK 99901-6649 | 2020-10-27 |
| 1740889351 | Deborah Diane Merritt | Counselor | 362 Tyee St, Soldotna, AK 99669-7631 | 2020-10-23 |
| 1295334993 | Terria Jean Vandenhuerk | Counselor | 7125 Old Seward Hwy Ste 201, Anchorage, AK 99518-2282 | 2020-10-22 |
| 1588261630 | Maia Stack | Counselor | 222 Tongass Dr Bldg 1206, Sitka, AK 99835-9416 | 2020-10-01 |
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1104438365 | Jalon Alexander Mccullough | Counselor | 542 4th Ave Ste B-101, Fairbanks, AK 99701-4707 | 2020-08-19 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1285251397 | Elmer Eugene Johnson | Counselor | 184 Cityview Ave, Homer, AK 99603-7017 | 2020-07-06 |
| 1710504774 | Magen Marie Spencer | Counselor | 410 River Front Street, Nenana, AK 99760-0159 | 2020-06-25 |
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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.