JUNEAU YOUTH SERVICES, INC. (NPI# 1316561509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316561509 |
| Entity Type | Organization |
| Organization Name | JUNEAU YOUTH SERVICES, INC. |
| Practice Address |
1507 3rd St Douglas AK 99824 |
| Mailing Address |
2075 Jordan Ave Juneau AK 99801-8095 |
| Practice Telephone | 9077897610 |
| Practice Fax Number | 9077892106 |
| Mailing Telephone | 9077897610 |
| Mailing Fax Number | 9077892106 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | AMY L SIMONDS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9075236531 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | Y |
| Parent Organization Name | JUNEAU YOUTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Gastineau SBS - 1115W | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228177 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8460 Rainbow Row, Juneau, AK 99801-9041 | 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 |
| 1447874631 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10815 Black Bear Rd, Juneau, AK 99801-8783 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Juneau youth Services, Inc. | 2075 Jordan Ave, Juneau, AK 99801 |
| Street Address |
1507 3RD ST |
| City | DOUGLAS |
| State | AK |
| Zip Code | 99824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124584644 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd Street, Douglas, AK 99824 | 2019-02-20 |
| 1306131339 | Joanne Alcantara | Doula | 1506 2nd Street, Apt 4, Douglas, AK 99824 | 2011-06-17 |
| 1992034821 | David Lockard | Acupuncturist | 1502 2nd St #3, Douglas, AK 99824 | 2009-12-24 |
| 1124395306 | Mary Doris Fitzgerald | Counselor | 2130 Lawson Creek Rd, Douglas, AK 99824-5010 | 2011-11-16 |
| 1194195388 | Rebecca Sheeran | Massage Therapist | 2130 Lawson Creek Rd, Douglas, AK 99824-5010 | 2015-09-30 |
| 1972978492 | Douglas Island Girl LLC | Case Management | 2190 Lawson Creek Rd Apt B, Douglas, AK 99824-5028 | 2015-12-09 |
| 1285003897 | Andrea Kennedy Wilt Duncan | Massage Therapist | 1512 3rd St Apt 1, Douglas, AK 99824-5241 | 2015-09-24 |
| 1184047292 | Mountainside Assisted Living Home | Day Training, Developmentally Disabled Services | 633 5th St, Douglas, AK 99824-5512 | 2014-01-24 |
| 1457839011 | Alix Christine Curtain | Nurse Practitioner | 615 5th St, Douglas, AK 99824-5512 | 2018-08-04 |
| 1811350903 | Raindrop Services LLC | Day Training, Developmentally Disabled Services | 625 5th St, Douglas, AK 99824-5512 | 2016-04-05 |
| Find all providers in zip 99824 | ||||
| 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 |
|---|---|---|---|---|
| 1831659473 | The Kiddo's Club LLC | Community/Behavioral Health | 3319 W Lariat Ln, Douglas, AZ 85607-6147 | 2019-03-20 |
| 1124584644 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1507 3rd Street, Douglas, AK 99824 | 2019-02-20 |
| 1932620390 | Southeastern Arizona Behavioral Health Service, Inc | Community/Behavioral Health | 936 F Ave Ste B, Douglas, AZ 85607-2024 | 2017-07-06 |
| 1407262512 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 661 N G Ave, Douglas, AZ 85607-2105 | 2014-07-09 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1669899373 | Pinal Hispanic Council | Community/Behavioral Health | 1930 E 11th St, Douglas, AZ 85607-2413 | 2014-03-20 |
| 1346675394 | Corazon Inc. | Community/Behavioral Health | 936 F Ave Ste A&b, Douglas, AZ 85607-2001 | 2013-09-10 |
| 1689946808 | Dorothy Dixon | Community/Behavioral Health | 552 Creekwood Rd, Douglas, GA 31535-1918 | 2012-02-03 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1295907608 | Child & Family Resources, Inc. | Community/Behavioral Health | 855 Cochise Ave, Douglas, AZ 85607-3440 | 2008-03-25 |
| Find all providers in DOUGLAS | ||||
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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.