COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE (NPI# 1174171417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174171417 |
| Entity Type | Organization |
| Organization Name | COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE |
| Practice Address |
10200 Kenai Spur Hwy Kenai AK 99611-7807 |
| Mailing Address |
Po Box 882 Kenai AK 99611-0882 |
| Practice Telephone | 9072833658 |
| Mailing Telephone | 9072833658 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Authorized Official Name | SHERRY METTLER (DELEGATED OFFICIAL) |
| Authorized Official Telephone | 9072833658 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740838085 | Cook Inlet Council On Alcohol and Drug Abuse | Community/Behavioral Health | 1230 Ocean Dr Unit 1, Homer, AK 99603-7911 | 2019-08-29 |
| 1679796528 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 126 W Pioneer Ave Ste 11, Homer, AK 99603-7564 | 2007-04-10 |
| 1396897419 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2007-01-17 |
| 1174792972 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2008-02-26 |
| Street Address |
10200 KENAI SPUR HWY |
| City | KENAI |
| State | AK |
| Zip Code | 99611-7807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396897419 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2007-01-17 |
| 1760089528 | Amanda M Hanson | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2020-10-05 |
| 1174173405 | Kimberly Ann Novak | Peer Specialist | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-09-18 |
| 1730740044 | Hailey A Bouton | Case Manager/Care Coordinator | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-06-26 |
| 1376104687 | Diane Carol Ogilvie | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-06-26 |
| 1285299792 | Joni Gray | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-05-09 |
| 1528623741 | Spring E Larrow | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-05-02 |
| 1053974725 | Jill Hildebrandt | Social Worker | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-04-18 |
| 1144782657 | Alecia Ann Gottlob | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2019-04-03 |
| 1174792972 | Cook Inlet Council On Alcohol and Drug Abuse | Clinic/Center | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| 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 |
|---|---|---|---|---|
| 1346791746 | Akeela Inc | Community/Behavioral Health | 805 Frontage Rd Ste 200b, Kenai, AK 99611-9122 | 2016-10-20 |
| 1174122766 | Central Peninsula General Hospital, Inc | Community/Behavioral Health | 47480 Kristina Way, Kenai, AK 99611-5902 | 2020-10-23 |
| 1699986687 | Kenaitze Indian Tribe | Community/Behavioral Health | 110 N Willow St, Kenai, AK 99611-7701 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483781 | Anchorage Community Mental Health Services, Inc | Community/Behavioral Health | 704 W 26th Ave, Anchorage, AK 99503-2532 | 2020-10-03 |
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1124646641 | Alaska Art Therapy and Counseling | Community/Behavioral Health | 1107 W 8th St Unit 5, Juneau, AK 99801-1853 | 2020-07-10 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1316561509 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd St, Douglas, AK 99824 | 2020-06-03 |
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
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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.