ALASKA TELETHERAPY, LLC (NPI# 1750991956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750991956 |
| Entity Type | Organization |
| Organization Name | ALASKA TELETHERAPY, LLC |
| Practice Address |
1137 Fred Cir Anchorage AK 99515-2656 |
| Mailing Address |
Po Box 110225 Anchorage AK 99511-0225 |
| Practice Telephone | 9074449134 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | MEGHAN M MAGONE (OWNER / PROVIDER) |
| Authorized Official Telephone | 9074449134 |
| Authorized Official Credential | MA LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1137 FRED CIR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99515-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538549928 | Meghan Magone | Counselor | 1137 Fred Cir, Anchorage, AK 99515-2656 | 2015-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891293239 | Above The Horizon LLC | Custodial Care Facility | 3300 Amber Bay Loop, Anchorage, AK 99515 | 2018-01-31 |
| 1689103004 | Kristine Troesch | Massage Therapist | 1130 W Dimond Blvd Suite D, Anchorage, AK 99515 | 2017-06-08 |
| 1710433610 | Yichen Chung | Physical Therapist | 9500 Canton Loop, Anchorage, AK 99515 | 2016-08-30 |
| 1093185175 | Lemon Tree Family Medicine, LLC | Family Medicine | 621 W., Dimond Anchorage, AK 99515 | 2015-10-01 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1003224189 | Kelly Cutrer | Pharmacist | 12045 Brandon St, Anchorage, AK 99515 | 2014-08-01 |
| 1922419449 | Shady Cook | Case Manager/Care Coordinator | 14041 Sunview Dr., Anchorage, AK 99515 | 2014-05-19 |
| 1699119941 | Lezlee Henry-dupoux | Social Worker | 1221 Huffman Park Drive, Anchorage, AK 99515 | 2013-04-17 |
| 1790035087 | Carmelite Home | Residential Treatment Facility, Physical Disabilities | 9401 Aphrodite Dr., Anchorage, AK 99515 | 2012-09-13 |
| 1982996344 | Richard L Day, Dds, Apc | Dentist | 10998 Omalley Centre Dr., Suite A, Anchorage, AK 99515 | 2011-05-04 |
| Find all providers in zip 99515 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1720548035 | Southcentral Foundation | Clinic/Center | 4441 Diplomacy Dr Fl 5, Anchorage, AK 99508-5910 | 2019-03-22 |
| 1750854089 | Southcentral Foundation | Clinic/Center | 400 W Benson Blvd, Anchorage, AK 99503-3829 | 2019-01-09 |
| 1376056952 | Integrated Wellness and Recovery | Clinic/Center | 3820 Lake Otis Pkwy Ste 112, Anchorage, AK 99508 | 2017-11-06 |
| Find all providers in ANCHORAGE | ||||
Please comment or provide details below to improve the information on ALASKA TELETHERAPY, LLC.
| 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.