ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES (NPI# 1285731950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285731950 |
| Entity Type | Organization |
| Organization Name | ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES |
| Practice Address |
4045 Lake Otis Pkwy Ste 101 Anchorage AK 99508-5211 |
| Practice Telephone | 9075615094 |
| Practice Fax Number | 9075617093 |
| Mailing Telephone | 9075610954 |
| Mailing Fax Number | 9075617093 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MR. JERRY JENKINS (CEO) |
| Authorized Official Telephone | 9075610954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
101YP1600X | AK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811513468 | Anchorage Community Mental Health Services | Community/Behavioral Health | 1612 Juneau Dr, Anchorage, AK 99501-5636 | 2020-06-19 |
| 1447661301 | Anchorage Community Mental Health Services | Clinic/Center | 4020 Folker St, Anchorage, AK 99508-5321 | 2014-05-14 |
| 1750609954 | Anchorage Community Mental Health Services | Clinic/Center | 4020 Folker St, Anchorage, AK 99508-5321 | 2010-05-12 |
| Street Address |
4045 LAKE OTIS PKWY STE 101 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707723 | Dion M Roberts | Pediatrics | 4045 Lake Otis Pkwy, Anchorage, AK 99508-5227 | 2005-08-11 |
| 1942731047 | Benita Hannah | Massage Therapist | 4045 Lake Otis Pkwy, 204, Anchorage, AK 99508-5227 | 2017-03-21 |
| 1821541814 | Erin Mccarver | Student in an Organized Health Care Education/Training Program | 4045 Lake Otis Pkwy, Anchorage, AK 99508-5227 | 2016-07-26 |
| 1407247257 | Stephanie Locus | Social Worker | 4045 Lake Otis Pkwy, Anchorage, AK 99508-5227 | 2015-02-16 |
| 1134535222 | Keren Nelson | Case Manager/Care Coordinator | 4045 Lake Otis Pkwy, Anchorage, AK 99508-5227 | 2014-07-09 |
| 1023434511 | Amber Chambers | Counselor | 4045 Lake Otis Pkwy, Anchorage, AK 99508-5227 | 2014-03-09 |
| 1881032365 | Heidi Barnwell | Marriage & Family Therapist | 4045 Lake Otis Pkwy, Anchorage, AK 99508-5227 | 2013-06-06 |
| 1417257734 | Audra York | Counselor | 4045 Lake Otis Pkwy, Suite 101, Anchorage, AK 99508-5227 | 2010-11-02 |
| 1659680973 | Matthew Brandon Liston | Counselor | 4045 Lake Otis Pkwy, Anchorage, AK 99508-5227 | 2010-10-04 |
| 1881908648 | Christie Rodriguez | Social Worker | 4045 Lake Otis Pkwy, Suite 101, Anchorage, AK 99508-5227 | 2010-08-03 |
| 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 | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386117729 | Spiritual Restoration Ministry LLC. | Counselor | 1601 E 84th Ave Ste 203, Anchorage, AK 99507-3160 | 2019-01-08 |
| 1639390693 | Mark E Andrews | Counselor | 4105 Tudor Centre Drive, Anchorage, AK 99508 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053662387 | Scott C Stanton | Counselor | 650 E Eden Ct, Wasilla, AK 99654-8512 | 2012-09-26 |
| 1306852454 | Christie Counsman Eberhardt | Counselor | 17791 Birchtree St, Chugiak, AK 99567-6743 | 2006-07-31 |
| 1457968802 | Amy Aras | Counselor | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-09-29 |
| 1548805385 | Rebecca Lou Sparkman | Counselor | 1075 S Check St Ste 208, Wasilla, AK 99654-8067 | 2019-11-15 |
| 1033622147 | Krystal L. Banks | Counselor | 1075 S Check St, Wasilla, AK 99654-8067 | 2017-11-10 |
Please comment or provide details below to improve the information on ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES.
| 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.