DENALI FAMILY SERVICES (NPI# 1386241149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386241149 |
| Entity Type | Organization |
| Organization Name | DENALI FAMILY SERVICES |
| Practice Address |
291 E Swanson Ave Wasilla AK 99654-7004 |
| Practice Telephone | 9077158267 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | KATHLEEN BETHE (CASE MANAGER) |
| Authorized Official Telephone | 9077158267 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120210 | Denali Family Services | Clinic/Center | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-07-02 |
| 1336260132 | Denali Family Services | Clinic/Center | 6401 A St, Anchorage, AK 99518-1824 | 2007-04-02 |
| 1366069601 | Denali Family Services | Clinic/Center | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DENALI FAMILY SERVICES | 6401 A St, Anchorage, AK 99518-1824 |
| Street Address |
291 E SWANSON AVE |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120210 | Denali Family Services | Clinic/Center | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-07-02 |
| 1134728702 | Haley Smith | Counselor | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-10-23 |
| 1104425172 | Forrest Blake Kostek | Counselor | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-10-21 |
| 1679172662 | Lacey R Munroe-york | Counselor | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-10-21 |
| 1831798263 | Courtney Mae Klaus | Counselor | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-10-16 |
| 1497353874 | Brianne Jean Bird | Peer Specialist | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-10-16 |
| 1336747823 | Katharine Bannon | Counselor | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-10-15 |
| 1528666492 | Margaret R Hobler | Case Manager/Care Coordinator | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-10-13 |
| 1669070678 | Kayla Victoria Stockdell | Counselor | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-10-12 |
| 1376140624 | Tanya Lynn Johnston | Counselor | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583838 | Jennifer Clare Lewis | Counselor | 291 E Swanson Ave Ste 100, Wasilla, AK 99654-7004 | 2020-09-22 |
| 1417575093 | Rhonda Mueller | Counselor | 200 N Meadow Lakes Loop, Wasilla, AK 99623-9855 | 2020-07-09 |
| 1861035776 | Heather Lyn Hunziker | Counselor | 2521 E Mountain Village Dr, Wasilla, AK 99654-7373 | 2019-10-23 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1558806604 | Brandy Stevens | Counselor | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2016-12-28 |
| 1992199723 | Christopher Sharpe | Counselor | 1075 S Check St Ste 105, Wasilla, AK 99654-8067 | 2015-03-18 |
| 1942635149 | Kenneth Bryan Mcinnis | Counselor | 851 E Westpoint Dr Ste 302, Wasilla, AK 99654 | 2013-09-06 |
| 1427314509 | Stacey D Brown | Counselor | 901 N Leatherleaf Loop Ste 103, Wasilla, AK 99654-6576 | 2012-04-03 |
| 1851545396 | John Robert Wallis | Counselor | 3901 E Bogard Rd, Wasilla, AK 99654-6068 | 2008-11-11 |
| 1366694986 | Cheryl Vanessa Puryear | Counselor | 5851 E Mayflower Ct, Wasilla, AK 99654-7881 | 2008-10-14 |
| Find all providers in WASILLA | ||||
Please comment or provide details below to improve the information on DENALI FAMILY 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.