MR. JOHN MARK FUGETT (NPI# 1609808211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609808211 |
| Entity Type | Individual |
| Full Name | MR. JOHN MARK FUGETT |
| Credential | LPC |
| Practice Address |
1831 Rebel Ridge Dr Anchorage AK 99504-2929 |
| Practice Telephone | (907) 222-2503 |
| Practice Fax Number | 9072740201 |
| Mailing Telephone | (907) 222-2503 |
| Mailing Fax Number | 9072740201 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
496 | AK | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 307 E Northern Lights Blvd, Suite 201, Anchorage, AK 995032701 | 9072222503 | 9072740201 |
| Street Address |
1831 REBEL RIDGE DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619489580 | Wendy Marie Irwin | Social Worker | 1831 Rebel Ridge Dr, Anchorage, AK 99504-2929 | 2017-10-31 |
| 1487056263 | Alaska Family Counseling, LLC | Community/Behavioral Health | 1831 Rebel Ridge Dr, Anchorage, AK 99504-2929 | 2014-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446182 | Anna Marie Luiken | Counselor | 1009 Fred Cir, Anchorage, AK 99515-2654 | 2020-10-29 |
| 1417569963 | Kristina Lynn Hentges | Counselor | 5131 Manytell Ave, Anchorage, AK 99516-4271 | 2020-08-17 |
| 1730745878 | Harsimranjeet Minhas | Counselor | 1040 1/2 W 19th Ave, Anchorage, AK 99503-1707 | 2019-05-14 |
| 1477118354 | Wesley Frank Brewington | Counselor | 3600 San Jeronimo Dr # 210, Anchorage, AK 99508-2870 | 2019-05-06 |
| 1003382706 | Rebecca Ann Shestakov | Counselor | 6952 Cutty Sark St, Anchorage, AK 99502-2809 | 2018-10-19 |
| 1952887960 | Joy Knight | Counselor | 6927 Old Seward Hwy Ste 201, Anchorage, AK 99518-2284 | 2018-07-12 |
| 1174031561 | Leslie Michelle Robertson | Counselor | 5138 Strawberry Rd, Anchorage, AK 99502-1921 | 2018-01-19 |
| 1770098972 | Wendi Joy Compton | Counselor | 810 W 2nd Ave, Anchorage, AK 99501-2018 | 2017-12-10 |
| 1780194019 | Mary Bartell | Counselor | 307 E Northern Lights Blvd Ste 101, Anchorage, AK 99503-2701 | 2017-09-30 |
| 1770017410 | Sayaka Maas | Counselor | 207 E Northern Lights Blvd Ste 125, Anchorage, AK 99503-2777 | 2017-04-19 |
| Find all providers in ANCHORAGE | ||||
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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.