FOUNDATIONS THERAPEUTIC SERVICES, LLC (NPI# 1639733496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639733496 |
Entity Type | Organization |
Organization Name | FOUNDATIONS THERAPEUTIC SERVICES, LLC |
Practice Address |
5099 E Blue Lupine Dr Ste 211 Wasilla AK 99654-8449 |
Mailing Address |
Po Box 1723 Palmer AK 99645-1723 |
Practice Telephone | 9073900587 |
Mailing Telephone | 9073310123 |
Enumeration Date | 2019-04-26 |
Last Update Date | 2020-02-13 |
Authorized Official Name | CAROLINE POWERS (OWNER/SOLE MEMBER) |
Authorized Official Telephone | 9073310123 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
5099 E BLUE LUPINE DR STE 211 |
City | WASILLA |
State | AK |
Zip Code | 99654-8449 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932670361 | Caroline Powers | Social Worker | 5099 E Blue Lupine Dr Ste 211, Wasilla, AK 99654-8449 | 2018-12-11 |
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 | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972120210 | Denali Family Services | Clinic/Center | 291 E Swanson Ave, Wasilla, AK 99654-7004 | 2020-07-02 |
1497080949 | Alaska Marriage and Family Center LLC | Clinic/Center | 601 N Bunker Hill St Ste E, Wasilla, AK 99654-6790 | 2009-10-15 |
1265074959 | Hart Psychiatry LLC | Clinic/Center | 851 E Westpoint Dr Ste 302, Wasilla, AK 99654-7183 | 2019-10-14 |
1205138294 | Southcentral Foundation | Clinic/Center | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2010-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962002113 | Volunteers of America Alaska, Central Ms | Clinic/Center | 1405 E St, Anchorage, AK 99501-5047 | 2020-10-27 |
1811597065 | Volunteers of America Alaska, West Hs | Clinic/Center | 1700 Hillcrest Dr, Anchorage, AK 99517-1347 | 2020-10-27 |
1578163721 | Volunteers of America Alaska, Romig Ms | Clinic/Center | 2500 Minnesota Dr, Anchorage, AK 99503-2384 | 2020-10-27 |
1295335446 | Volunteers of America Alaska, Tyson Es | Clinic/Center | 2801 Richmond Ave, Anchorage, AK 99508-1099 | 2020-10-27 |
1407466204 | Southcentral Foundation | Clinic/Center | 11495 N Callison St, Sutton, AK 99674 | 2020-08-06 |
1063033959 | Volunteers of America Alaska, Bartlett Hs | Clinic/Center | 1101 Golden Bear Dr, Anchorage, AK 99504-6120 | 2020-05-01 |
1427679307 | Volunteers of America Alaska, Benny Ss | Clinic/Center | 4515 Campbell Airstrip Rd, Anchorage, AK 99507-1267 | 2020-05-01 |
1396366290 | Volunteers of America Alaska, East Hs | Clinic/Center | 4025 E Northern Lights Blvd, Anchorage, AK 99508-3588 | 2020-05-01 |
1558991323 | Hatcher Pass Counseling and Consultation LLC | Clinic/Center | 720 E Evergreen Ave Ste B, Palmer, AK 99645-6660 | 2020-01-21 |
1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
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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.