JANICE MESDAG CHURCH (NPI# 1366831364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366831364 |
| Entity Type | Individual |
| Full Name | JANICE MESDAG CHURCH |
| Credential | LCSW, CDCI |
| Practice Address |
2913 Simpson Ave Juneau AK 99801-2046 |
| Practice Telephone | 9076355551 |
| Mailing Telephone | 9076355551 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 602 | AK | Behavioral Health & Social Service Providers |
| Street Address |
2913 SIMPSON AVE |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-2046 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574015 | Hilary Young | Counselor | 11909 Glacier Hwy Apt 305, Juneau, AK 99801-8790 | 2020-03-24 |
| 1700232550 | Ann Rausch | Counselor | 211 Fourth Street, Suite 102, Juneau, AK 99801 | 2016-05-11 |
| 1750412532 | Michele Federico | Counselor | 5597 Aisek Street, Juneau, AK 99801 | 2007-03-07 |
| 1841329356 | Miriam A Jensen | Counselor | 3250 Hospital Drive, Juneau, AK 99801-9501 | 2007-03-02 |
| 1952440638 | Patricia Ann White | Counselor | 130 Seward Street, Suite 218, Juneau, AK 99801 | 2007-02-06 |
| 1356959860 | Maitri Alaska Wellness LLC | Counselor | 9000 Glacier Hwy Ste 202, Juneau, AK 99801-8097 | 2020-07-21 |
| 1629690789 | Olivia Salisbury Sinaiko | Counselor | 225 Front St Ste 202, Juneau, AK 99801-1244 | 2020-05-12 |
| 1669000766 | Nicole Ashley | Counselor | 3406 Glacier Hwy, Juneau, AK 99801-7251 | 2020-04-01 |
| 1992333090 | Michael Graney | Counselor | 3406 Glacier Hwy, Juneau, AK 99801-7251 | 2020-04-01 |
| 1669000758 | Demaris Oxman | Counselor | 3406 Glacier Hwy, Juneau, AK 99801-7251 | 2020-04-01 |
| 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.