COMMUNITY CONNECTIONS (NPI# 1346423415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346423415 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CONNECTIONS |
| Practice Address |
201 Deermount St Ketchikan AK 99901-6649 |
| Practice Telephone | 9072257825 |
| Practice Fax Number | 9072251541 |
| Mailing Telephone | 9072257825 |
| Mailing Fax Number | 9072251541 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |
| Authorized Official Name | BESS CLARK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9072257825 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CONNECTIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 292852 | AK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DY3369 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477928828 | Community Connections | Community/Behavioral Health | 355 E Ridgewood Ave, Paramus, NJ 07652-4819 | 2015-12-10 |
| 1235563370 | Community Connections | Respite Care | 101 Trudy Ave, Munroe Falls, OH 44262-1012 | 2013-08-26 |
| 1407086507 | Community Connections | Clinic/Center | 8210 Houston Ct, Takoma Park, MD 20912-6247 | 2009-07-23 |
| 1225211394 | Community Connections | Day Training, Developmentally Disabled Services | 1800 Craig-klawock Hwy, Suite 241, Craig, AK 99921-0064 | 2007-12-12 |
| 1033718606 | Community Connections | Community/Behavioral Health | 1800 Craig-klawock Hwy, Suite 241, Craig, AK 99921-0420 | 2020-10-23 |
| 1568061232 | Community Connections | Community/Behavioral Health | 721 Stedman St, Ketchikan, AK 99901-6632 | 2020-10-22 |
| 1043546807 | Community Connections | Health Maintenance Organization | 1101 Commercial St, Emporia, KS 66801-2989 | 2009-10-28 |
| 1093998163 | Community Connections | Home Health | 721 Stedman St, Ketchikan, AK 99901-6632 | 2007-12-12 |
| 1801079975 | Community Connections | Early Intervention Provider Agency | 721 Stedman St, Ketchikan, AK 99901-6632 | 2007-12-12 |
| 1538342605 | Community Connections | Case Management | 201 Deermount St, Ketchikan, AK 99901-6649 | 2007-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY CONNECTIONS | 121 N Dewey # 109, North Platte, NE 69101-5439 |
| North Carolina Corporations | Community Connections | 1477 Mill Neck Road, Williamston, NC 27892 |
| Colorado Business Entities | Community Connections | 3301 Branding Iron Way, Berthoud, CO 80513 |
| Oregon Corporations, Companies and Business Names | COMMUNITY CONNECTIONS | 23955 Sw Ladd Hill Rd, Sherwood, OR 97140 |
| New York State Corporations | COMMUNITY CONNECTIONS AT FINDLEY LAKE, INC. | Box 121, Findley Lake, Ny 14736 |
| Colorado Business Entities | Community Connections Coalition Council | 218 Blue Mesa Drive, Divide, CO 80814 |
| System for Award Management (SAM) Entities | COMMUNITY CONNECTIONS GROUP, INC. | 6606 Fernbush Dr, Louisville, KY 40228-1402 |
| New York State Corporations | COMMUNITY CONNECTIONS LIFE LLC | Po Box 71, Pound Ridge, Ny 10576 |
| Colorado Business Entities | Community Connections LLC | 1370 Se Deer Creek Dr., Cedaredge, CO 81413 |
| Connecticut Business Registrations | COMMUNITY CONNECTIONS LLC | 34 Arch Bridge Road, Bethlehem, CT 06751 |
| Street Address |
201 DEERMOUNT ST |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-6649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194848184 | Lisa C Noland | Case Manager/Care Coordinator | 201 Deermount St, Ketchikan, AK 99901-6649 | 2007-04-06 |
| 1659901767 | Debra Kinerk | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1194355206 | Chris Mark Glanzer | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1790315893 | Jessica Breanne Lutton | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1669002770 | Darryl Anthony Simons | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1184254286 | Anthonny Ramiero Chulik | Behavior Technician | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1447880547 | Christine Marie Furey | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1831744069 | Ruth Anne Bullock | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2019-08-05 |
| 1295213148 | Renee Danielle Murray | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2018-08-02 |
| 1407191760 | Dawn Rebecca Frizzell | Case Manager/Care Coordinator | 201 Deermount St, Ketchikan, AK 99901-6649 | 2012-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1073766317 | Kic/thc Behavioral Health Department | Community/Behavioral Health | 2960 Tongass Ave Fl 1, Ketchikan, AK 99901-5742 | 2008-10-30 |
| 1568061232 | Community Connections | Community/Behavioral Health | 721 Stedman St, Ketchikan, AK 99901-6632 | 2020-10-22 |
| 1336771781 | Residential Youth Care, Inc. | Community/Behavioral Health | 2524 1st Avenue, Ketchikan, AK 99901 | 2020-02-04 |
| 1669010922 | Akeela Inc | Community/Behavioral Health | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2019-12-18 |
| 1346601457 | State of Alaska Public Health Nursing | Community/Behavioral Health | 3054 Fifth Ave, Ketchikan, AK 99901-5773 | 2016-03-16 |
| 1588834154 | Ketchikan Indian Community | Community/Behavioral Health | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2008-03-10 |
| Find all providers in KETCHIKAN | ||||
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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.