LEAP INC (NPI# 1518195080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518195080 |
| Entity Type | Organization |
| Organization Name | LEAP INC |
| Other Organization Name | LEAP A/V PROGRAM |
| Practice Address |
600 University Ave Ste 3 Fairbanks AK 99709-3651 |
| Mailing Address |
600 University Ave Suite 3 Mail: Po Box 82842 Fairbanks AK 99708-2842 |
| Practice Telephone | 9074522473 |
| Mailing Telephone | 9074522473 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |
| Authorized Official Name | LISA HAY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9074522473 |
| Authorized Official Credential | LCSW, MFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
921 | AK | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| LEAP A/V Program | Other Name - Individual/Organization |
| Street Address |
600 UNIVERSITY AVE STE 3 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99709-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093292120 | Jonathan Printers Jr. | Counselor | 600 University Ave Ste 3, Fairbanks, AK 99709-3651 | 2018-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946810 | Beacon Monitoring Professional Services | Technician, Other | 745 Staffordshire Rd, Fairbanks, AK 99709 | 2020-09-10 |
| 1235629544 | Fairbanks Healing Space | Health Educator | 3875 Geist Road, Suite E #136, Fairbanks, AK 99709 | 2018-05-11 |
| 1609395409 | Shawn K Goggins | Counselor | 1423 Peger Road, Fairbanks, AK 99709 | 2017-09-12 |
| 1710433347 | Jay Titus | Technician/Technologist | 2884 Marina Drive, Fairbanks, AK 99709 | 2016-09-01 |
| 1710391610 | Hannah Summerfelt | Dentist | 3539 Thomas St, Fairbanks, AK 99709 | 2014-06-18 |
| 1629407325 | Diane Louise Mitchell | Nurse Practitioner | 4650 Harvard Cir, Fairbanks, AK 99709 | 2013-11-04 |
| 1407147929 | Christina Martz | Counselor | 1270 Summet Drive, Fairbanks, AK 99709 | 2011-05-02 |
| 1255652285 | Surgery Center of Fairbanks LLC | Clinic/Center | 2310 Peger Road, Fairbanks, AK 99709 | 2010-06-14 |
| 1962661835 | John Leo Hughes Jr Jr. | Dentist | 3437 Airport Way, Suite 205, Fairbanks, AL 99709 | 2008-06-05 |
| 1508042417 | Katherine E Johnson, Md PC | Ophthalmology | 2485 Chief William Drive, Suite 100, Fairbanks, AK 99709 | 2008-01-10 |
| Find all providers in zip 99709 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1851949630 | Elizabeth Green | Social Worker | 743 9th Ave, Fairbanks, AK 99701-4406 | 2019-08-26 |
| 1013424225 | Making A Difference Support Services, LLC | Social Worker | 1867 Airport Way Ste 200, Fairbanks, AK 99701-4061 | 2018-01-09 |
| 1316479702 | Brandy Bernos Aday-springer | Social Worker | 100 Cushman St Ste 309, Fairbanks, AK 99701-4673 | 2017-04-03 |
| 1528337524 | Alissa Springer | Social Worker | 125 Charles St, Fairbanks, AK 99701-3064 | 2011-12-20 |
| 1508161308 | Kristi L. Wood | Social Worker | 626 2nd St Ste 101a, Fairbanks, AK 99701-3466 | 2011-01-26 |
| 1568796951 | Gabe Michael Duran | Social Worker | 640 Knightsbridge Rd, Fairbanks, AK 99709-2467 | 2009-10-01 |
| 1184801656 | Valerie Jensen | Social Worker | 600 University Ave Ste 5d, Fairbanks, AK 99709-3643 | 2008-01-28 |
| 1043407794 | Deborah Lynn Allman-reynolds | Social Worker | 1420 Bangs Way, Fairbanks, AK 99709-4050 | 2007-09-26 |
| 1639360654 | Margaret Zebovitz Kurzbard | Social Worker | 581 Sandpiper Dr, Fairbanks, AK 99709-6656 | 2007-08-06 |
| Find all providers in FAIRBANKS | ||||
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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.