JETT MORGAN TREATMENT SERVICES, LLC (NPI# 1184911851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184911851 |
| Entity Type | Organization |
| Organization Name | JETT MORGAN TREATMENT SERVICES, LLC |
| Practice Address |
400 W Tudor Rd #a-400 Anchorage AK 99503-6614 |
| Practice Telephone | 9076777709 |
| Practice Fax Number | 9076777095 |
| Mailing Telephone | 9076777709 |
| Mailing Fax Number | 9076777095 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | MICHELLE JETT (DIRECTOR OF OPERATIONS, CO-OWNER) |
| Authorized Official Telephone | 9076777709 |
| Authorized Official Credential | AAS, CDC II, BHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
954236 | AK | Behavioral Health & Social Service Providers |
| N | 251S00000X | Community/Behavioral Health | 954236 | AK | Agencies |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
954236 | AK | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1688197 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109120 | Jett Morgan Treatment Services, LLC | Community/Behavioral Health | 400 W Tudor Rd Ste A400, Anchorage, AK 99503-6652 | 2019-11-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JETT MORGAN TREATMENT SERVICES, LLC | 400 W Tudor Rd #a-400, Anchorage, AK 99503-6652 |
| Street Address |
400 W TUDOR RD #A-400 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99503-6614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447702733 | Ariel A Valenzuela | Counselor | 400 W Tudor Rd, #a-400, Anchorage, AK 99503-6614 | 2016-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1447804984 | Bethany Lynn Becker | Optometrist | 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 | 2019-08-01 |
| 1265084933 | Carr-gottstein Foods Co | Durable Medical Equipment & Medical Supplies | 2920 Seward Hwy, Anchorage, AK 99503 | 2019-07-12 |
| 1982268942 | Rukiyia Smith | Behavior Technician | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-25 |
| 1245894310 | Mary Kathleen Tate | Specialist/Technologist | 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | 2019-04-24 |
| 1194295766 | Kimberly Sue Trent | Registered Nurse | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | 2018-11-27 |
| 1659869089 | Alaska Spine & Pain Center, LLC | Chiropractor | 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 | 2018-05-01 |
| 1235643123 | Rosanne Louise Klouda | Massage Therapist | 213 Fireweed Ln, Anchorage, AK 99503 | 2017-11-30 |
| 1801309042 | Online Care Group Alaska | General Practice | 200 W. 34th Ave, Anchorage, AK 99503 | 2017-11-09 |
| 1548773849 | Leslie K Michalski | Massage Therapist | 510 W Tudor Rd Ste 9, Anchorage, AK 99503 | 2017-11-08 |
| Find all providers in zip 99503 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888298 | Finding Your Way Psychological Services, Inc. | Clinic/Center | 5428 E 97th Ave, Anchorage, AK 99507-6618 | 2020-07-20 |
| 1841758752 | Coastal Wellness and Counseling, LLC | Clinic/Center | 1130 W 6th Ave Ste 101, Anchorage, AK 99501-1903 | 2019-03-10 |
| 1922436732 | Jc Faith Open Arms 1 | Clinic/Center | 1023 State St Unit A, Anchorage, AK 99504-2038 | 2013-10-15 |
| 1356782940 | Parker Too Alh | Clinic/Center | 1310 Valley St Unit A, Anchorage, AK 99504-2261 | 2013-07-11 |
| 1801168620 | Mckenzie Assisted Living | Clinic/Center | 8812 Hamlet Circle, 8812 Hamlet Circle, Anchorage, AK 99502 | 2012-02-09 |
| 1477869386 | Scott Mccaleb Counseling Service | Clinic/Center | 7516 Eastbrook Cir, Anchorage, AK 99504-3568 | 2010-08-30 |
| 1750991956 | Alaska Teletherapy, LLC | Clinic/Center | 1137 Fred Cir, Anchorage, AK 99515-2656 | 2020-08-04 |
| 1831526714 | Jc Faith Open Arms 3 | Clinic/Center | 2517 W 67th Ave, Anchorage, AK 99502-2216 | 2013-10-09 |
| 1831472000 | Orion Behavioral Health Network | Clinic/Center | 2530 Debarr Rd, Anchorage, AK 99508-2948 | 2011-09-23 |
| 1689957201 | Amy Marie Connaker | Clinic/Center | 4020 Folker Street, Anchorage, AK 99508 | 2011-09-20 |
| 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.