MARIA MARIANE LARSON (NPI# 1720427503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720427503 |
| Entity Type | Individual |
| Full Name | MARIA MARIANE LARSON |
| Practice Address |
829 Chief Eddie Hoffman Highway Bethel AK 99559 |
| Mailing Address |
Po Box 528 Bethel AK 99559-0528 |
| Practice Telephone | 9075436100 |
| Mailing Telephone | 9075436100 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MH0150 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548715873 | Maria Anne Larson | Physical Therapist | 13121 E 17th Ave Ste C234, Education 2 South, 5th Fl, Aurora, CO 80045-2596 | 2016-08-16 |
| Street Address |
829 CHIEF EDDIE HOFFMAN HIGHWAY |
| City | BETHEL |
| State | AK |
| Zip Code | 99559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879998 | Deirdre M Piotrowski | Social Worker | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2005-05-31 |
| 1093200289 | Deborah A Michael | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2018-06-29 |
| 1417409210 | Colby Haines | Dentist | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2016-10-27 |
| 1437521713 | Anne Marie Harper | Dietitian, Registered | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-10-26 |
| 1013391382 | Pamela Chaliak | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2015-07-16 |
| 1720462146 | Sarah Jasper | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-07-15 |
| 1356734511 | Jennifer Bierley | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-03-12 |
| 1134512676 | Angelica Afcan | Dental Therapist | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-03-09 |
| 1245621192 | Berntina Sankwich | Counselor | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2015-02-13 |
| 1235535816 | Brittany Demientieff | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Highway, Suite 150, Bethel, AK 99559 | 2014-11-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
| 1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
| 1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
| 1639730484 | Jerri Linda Moran-gentle | Massage Therapist | 430 A 7th Ave, Bethel, AK 99559 | 2019-06-24 |
| 1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
| 1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
| 1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
| 1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
| 1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
| Find all providers in zip 99559 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114277902 | Darlene Dailey | Counselor | 141 Nashville Rd, Bethel, CT 06801-2517 | 2012-09-19 |
| 1215283239 | Robert Joseph Deletis | Counselor | 37 Whippoorwill Rd, Bethel, CT 06801-2721 | 2012-07-27 |
| 1003055187 | Louis Mallette Sr. | Counselor | 940 State Hwy, Bethel, AK 99559 | 2009-02-12 |
| 1023286044 | Lawrence Lewis | Counselor | 829 State Hwy, Bethel, AK 99559 | 2008-02-12 |
| 1598974156 | Leslie G Lufkin | Counselor | 20 Flaherty Ln, Bethel, ME 04217-7020 | 2007-05-21 |
| 1174144802 | John Isaac Nicori Jr. | Counselor | 1410 Calista Drive, Bethel, AK 99559-0528 | 2020-05-05 |
| 1083019145 | Kathleen Marie Lange | Counselor | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 | 2014-10-30 |
| 1740611979 | Martha Senungetuk | Counselor | 324 Radio Street, Bethel, AK 99559-0528 | 2013-12-13 |
| 1861825887 | Olivia C Moses | Counselor | 829 Chief Eddie Hoffman, Bethel, AK 99559 | 2013-08-13 |
| 1356788848 | Kimberly Erin Smith | Counselor | 829 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2013-05-24 |
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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.