MICHAEL W DE MOLINA (NPI# 1164472924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164472924 |
| Entity Type | Individual |
| Full Name | MICHAEL W DE MOLINA |
| Credential | MS, LPC, CDCS, MAC |
| Practice Address |
401 W International Airport Rd Ste 17 Anchorage AK 99518-1168 |
| Practice Telephone | 9077703656 |
| Practice Fax Number | 9075624503 |
| Mailing Telephone | 9077703656 |
| Mailing Fax Number | 9075624503 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2016-02-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
420 | AK | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
420 | AK | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
420 | AK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MH3681 | 05 |
| Street Address |
401 W INTERNATIONAL AIRPORT RD STE 17 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99518-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582063 | Wisdom Traditions Counseling Services, LLC | Community/Behavioral Health | 401 W International Airport Rd Ste 17, Anchorage, AK 99518-1168 | 2020-06-10 |
| 1558908012 | Loni R. Quinn | Counselor | 401 W International Airport Rd Ste 17, Anchorage, AK 99518-1168 | 2019-12-04 |
| 1902468184 | Timothy J Alderson | Counselor | 401 W International Airport Rd Ste 17, Anchorage, AK 99518-1168 | 2019-07-08 |
| 1992287163 | Rebekah Lindeen Haussner | Counselor | 401 W International Airport Rd Ste 17, Anchorage, AK 99518-1168 | 2018-09-04 |
| 1659859221 | Andrew Watson | Counselor | 401 W International Airport Rd Ste 17, Anchorage, AK 99518-1168 | 2018-08-05 |
| 1316289739 | Gwendoline C Dewitt | Counselor | 401 W International Airport Rd Ste 17, Anchorage, AK 99518-1168 | 2013-03-24 |
| 1568730570 | Tina Marie Demure | Registered Nurse | 401 W International Airport Rd Ste 17, Anchorage, AK 99518 | 2011-12-05 |
| 1467775676 | Wisdom Traditions Counseling Services, LLC | Clinic/Center | 401 W International Airport Rd Ste 17, Anchorage, AK 99518 | 2010-03-03 |
| 1679715338 | Kenneth A Thompson | Counselor | 401 W International Airport Rd Ste 17, Anchorage, AK 99518-1168 | 2009-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871952648 | Daniel & Max, LLC | Optometrist | 8300 Homer Drive, Anchorage, AK 99518 | 2016-02-22 |
| 1093133266 | Bidney Turner | Registered Nurse | 8130 Old Sweard Highway, Suite #103, Anchorage, AK 99518 | 2014-04-03 |
| 1407271265 | Diane Clare Espinosa | Speech-Language Pathologist | 708 Blackburn Ct., Anchorage, AK 99518 | 2014-03-03 |
| 1366865859 | Infinite Care of Alaska LLC | Home Health | 165 East 56th Ave., Suite #3, Anchorage, AK 99518 | 2014-02-04 |
| 1669712477 | Medical Services | Durable Medical Equipment & Medical Supplies | 5401 North Star St, Anchorage, AK 99518 | 2013-02-15 |
| 1346503364 | Eric Mellor Larsen | Social Worker | 5308 Northstar St, Anchorage, AK 99518 | 2012-06-25 |
| 1245443662 | Wisdom Traditions Wellness, LLC | Acupuncturist | 615 E 82nd Avenue Suite B-5, Suite #17, Anchorage, AK 99518 | 2007-05-08 |
| 1902929813 | Stannealh Inc. 2 | Residential Treatment Facility, Physical Disabilities | 7452 Nathan Dr., Anchorage, AK 99518 | 2007-04-06 |
| 1679641500 | Annett Marie Pipkin | Specialist | 5401 Northstar, #a, Anchorage, AK 99518 | 2006-11-30 |
| 1922172022 | Mark E Silverman | Dentist | 7926 Old Seward Hwy, Ste B7, Anchorage, AK 99518 | 2006-11-20 |
| Find all providers in zip 99518 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710157 | Ida Brothers | Counselor | 2705 W 67th Ave, Anchorage, AK 99502-2222 | 2020-11-04 |
| 1831799287 | Martina A Diamond | Counselor | 3616 Peterkin Ave, Anchorage, AK 99508-1131 | 2020-10-27 |
| 1598362972 | Annette F Wilson | Counselor | 5674 Alora Loop, Anchorage, AK 99504-1050 | 2020-10-08 |
| 1386241917 | Jerome Donald Velcheff | Counselor | 719 Edward St # B, Anchorage, AK 99504-1664 | 2020-10-06 |
| 1386241313 | Lori Ann Velcheff | Counselor | 6800 Howard Ave, Anchorage, AK 99504-1870 | 2020-10-02 |
| 1063019107 | Katherine Patricia Jerue | Counselor | 632 W 15th Ave, Anchorage, AK 99501-5006 | 2020-10-01 |
| 1518584267 | Janna Harvey | Counselor | 2804 W Northern Lights Blvd Ste 280, Anchorage, AK 99517-3300 | 2020-06-29 |
| 1013547306 | Samuel Peterson | Counselor | 4600 Debarr Rd, Anchorage, AK 99508-3103 | 2020-01-25 |
| 1750911335 | Brandi Lyn Ropati-hunte | Counselor | 3406 Seppala Dr Unit B3406, Anchorage, AK 99517-1143 | 2020-01-22 |
| 1538704986 | Ashley Locke | Counselor | 880 H St Ste 201, Anchorage, AK 99501-3450 | 2019-11-08 |
| Find all providers in ANCHORAGE | ||||
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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.