FAMILY CENTERED SERVICES OF ALASKA (NPI# 1962033282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962033282 |
Entity Type | Organization |
Organization Name | FAMILY CENTERED SERVICES OF ALASKA |
Practice Address |
1825 Marika Rd Fairbanks AK 99709-5521 |
Practice Telephone | 9074740890 |
Practice Fax Number | 9074743621 |
Mailing Telephone | 9074740890 |
Mailing Fax Number | 9074743621 |
Enumeration Date | 2020-01-27 |
Last Update Date | 2020-01-27 |
Authorized Official Name | ALLISON J BENJAMIN (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 9074740890 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942830419 | Family Centered Services of Alaska | Community/Behavioral Health | 301 Danna Ave, Wasilla, AK 99654-5521 | 2020-01-23 |
1760013080 | Family Centered Services of Alaska | Clinic/Center | 3101 Lathrop St, Fairbanks, AK 99701-7426 | 2020-01-27 |
1124445762 | Family Centered Services of Alaska | Counselor | 1825 Marika Rd, Fairbanks, Fairbanks, AK 99709-5521 | 2014-03-20 |
1235556010 | Family Centered Services of Alaska | Community/Behavioral Health | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2014-03-18 |
1366725939 | Family Centered Services of Alaska | Residential Treatment Facility, Emotionally Disturbed Children | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2011-09-21 |
1093936189 | Family Centered Services of Alaska | Residential Treatment Facility, Emotionally Disturbed Children | 620 5th Ave, Fairbanks, AK 99701-4512 | 2007-05-02 |
Street Address |
1825 MARIKA RD |
City | FAIRBANKS |
State | AK |
Zip Code | 99709-5521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225099765 | Richard Calvin Brown Jr. | Psychiatry & Neurology | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2006-03-31 |
1073130720 | Andrew Anthony Lara | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-06-29 |
1336765114 | Kevin Johnson Jr. | Behavior Technician | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-06-17 |
1346865565 | Joshua Vazquez Gonzalez | Behavior Technician | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-06-12 |
1194354639 | Mark Dinelt | Case Manager/Care Coordinator | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-04-06 |
1487286860 | John Walter Flynn | Case Manager/Care Coordinator | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-02-04 |
1881224301 | Jheri Rea Bock | Behavioral Analyst | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-01-23 |
1922638527 | Tracy Mcdonald-ofeldt | Case Manager/Care Coordinator | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2020-01-22 |
1528602869 | Noah Harris | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2019-10-30 |
1861034373 | Whitney Mclaren | Counselor | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2019-10-16 |
Find all providers in the same location |
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 | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447895578 | Tanana Chiefs Conference | Community/Behavioral Health | 117 1st Ave, Fairbanks, AK 99701-4802 | 2019-11-13 |
1497390538 | Tanana Chiefs Conference | Community/Behavioral Health | 122 1st Ave Ste 106, Fairbanks, AK 99701-4871 | 2019-11-13 |
1336614205 | Extended Family Alaska LLC | Community/Behavioral Health | 978 Pickering Dr, Fairbanks, AK 99709-5770 | 2018-10-08 |
1316247091 | North Star Council On Aging, Inc. | Community/Behavioral Health | 1424 Moore St, Fairbanks, AK 99701-5716 | 2010-10-27 |
1881713261 | Interior Aids Association | Community/Behavioral Health | 710 3rd Ave, Fairbanks, AK 99701-4455 | 2007-03-28 |
1912079088 | Fairbanks Resource Agency Inc | Community/Behavioral Health | 805 Airport Road, Fairbanks, AK 99701 | 2006-11-14 |
1841835980 | Tanana Chiefs Conference | Community/Behavioral Health | 1521 S Cushman St, Fairbanks, AK 99701-6203 | 2019-11-13 |
1306481437 | Tanana Chiefs Conference | Community/Behavioral Health | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2019-11-13 |
1053955674 | Tanana Chiefs Confenerce | Community/Behavioral Health | 1300 Moore St, Fairbanks, AK 99701-5761 | 2019-11-06 |
1083258677 | Chief Andrew Issac Health Center | Community/Behavioral Health | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2019-11-06 |
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.