BEHAVIORAL HEALTH TREATMENT CENTER (NPI# 1992836670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992836670 |
Entity Type | Organization |
Organization Name | BEHAVIORAL HEALTH TREATMENT CENTER |
Practice Address |
5851 E Mayflower Court Wasilla AK 99654 |
Practice Telephone | 9073764000 |
Practice Fax Number | 9073731135 |
Mailing Telephone | 9073764000 |
Mailing Fax Number | 9073731135 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2013-08-09 |
Authorized Official Name | DR. DONN BENNICE (PRESIDENT/CEO) |
Authorized Official Telephone | 9077466231 |
Authorized Official Credential | PHD |
Is Organization Subpart | Y |
Parent Organization Name | ALASKA FAMILY SERVICES LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | MH6030 | 05 | |
AK | DA8235 | 05 |
Street Address |
5851 E MAYFLOWER COURT |
City | WASILLA |
State | AK |
Zip Code | 99654 |
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 | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619583838 | Jennifer Clare Lewis | Counselor | 291 E Swanson Ave Ste 100, Wasilla, AK 99654-7004 | 2020-09-22 |
1417575093 | Rhonda Mueller | Counselor | 200 N Meadow Lakes Loop, Wasilla, AK 99623-9855 | 2020-07-09 |
1861035776 | Heather Lyn Hunziker | Counselor | 2521 E Mountain Village Dr, Wasilla, AK 99654-7373 | 2019-10-23 |
1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
1558806604 | Brandy Stevens | Counselor | 591 S Knik Goose Bay Rd, Wasilla, AK 99654-8062 | 2016-12-28 |
1992199723 | Christopher Sharpe | Counselor | 1075 S Check St Ste 105, Wasilla, AK 99654-8067 | 2015-03-18 |
1942635149 | Kenneth Bryan Mcinnis | Counselor | 851 E Westpoint Dr Ste 302, Wasilla, AK 99654 | 2013-09-06 |
1427314509 | Stacey D Brown | Counselor | 901 N Leatherleaf Loop Ste 103, Wasilla, AK 99654-6576 | 2012-04-03 |
1851545396 | John Robert Wallis | Counselor | 3901 E Bogard Rd, Wasilla, AK 99654-6068 | 2008-11-11 |
1366694986 | Cheryl Vanessa Puryear | Counselor | 5851 E Mayflower Ct, Wasilla, AK 99654-7881 | 2008-10-14 |
Find all providers in WASILLA |
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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.