MARTIN THEULEN (NPI# 1356902589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356902589 |
| Entity Type | Individual |
| Full Name | MARTIN THEULEN |
| Practice Address |
1015 E 6th Ave Anchorage AK 99501-2748 |
| Practice Telephone | 9072766430 |
| Practice Fax Number | 9072763637 |
| Mailing Telephone | 9072766430 |
| Mailing Fax Number | 9072763637 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1015 E 6TH AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99501-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932244712 | Narcotic Drug Treatment Center, Inc. | Clinic/Center | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2007-02-20 |
| 1215541743 | Brittany Britch | Counselor | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2020-09-02 |
| 1679185011 | Karin Shannon | Counselor | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2020-08-18 |
| 1871105213 | Michael Shannon | Licensed Practical Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2020-08-18 |
| 1063044659 | Narcotic Drug Treatment Center, Inc. | Clinic/Center | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2020-02-11 |
| 1972164101 | Richard Collins | Counselor | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1073174298 | Mary Ellen Degange | Registered Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1427619642 | Summer Maseuli | Licensed Practical Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1932760147 | Cynthia Ellen Aiken | Psychologist | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1134780356 | Shantay Brown | Registered Nurse | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093304 | Ryan Garcia | Military Health Care Provider | 673d Med Group, Jber, AK 99501 | 2020-11-02 |
| 1033755798 | The Salvation Army, A California Corporation | Community/Behavioral Health | 1700 A Street, Anchorage, AK 99501 | 2019-11-18 |
| 1740841170 | Christina Lynne Arent Cook | Registered Nurse | 8000 West End Rd, Anchorage, AK 99501 | 2019-06-26 |
| 1033770672 | Kathy Eileen Mailelle | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-25 |
| 1306312574 | Patricia Estella Gould | Marriage & Family Therapist | 731 N St, Anchorage, AK 99501 | 2018-10-15 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1871952705 | Warren Anderson | Massage Therapist | 737 West 5th Avenue Suite 202, Anchorage, AK 99501 | 2016-02-20 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| Find all providers in zip 99501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334993 | Terria Jean Vandenhuerk | Counselor | 7125 Old Seward Hwy Ste 201, Anchorage, AK 99518-2282 | 2020-10-22 |
| 1558980938 | Theresa Johnson | Counselor | 3230 C St Ste 100, Anchorage, AK 99503-3918 | 2020-04-15 |
| 1548896293 | Yazmin B Sanchez | Counselor | 3760 Piper St Ste 1090, Anchorage, AK 99508-4683 | 2020-03-13 |
| 1205470572 | Briana Salome Pili | Counselor | 741 N Bunn St Apt 1, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1104460484 | Erica Lolesio | Counselor | 741 N Bunn St Apt 3, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1609410901 | Maggie May Rhodes | Counselor | 741 N Bunn St Apt 4, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1598327074 | Anna Sappah | Counselor | 401 W International Airport Rd Ste 27, Anchorage, AK 99518-1168 | 2019-07-03 |
| 1902463581 | Karsandra Dianne Higuera | Counselor | 400 W Tudor Rd Ste A400, Anchorage, AK 99503-6652 | 2019-05-20 |
| 1760047575 | Kelli Lynne Hyden | Counselor | 3600 San Jeronimo Dr Ste 201, Anchorage, AK 99508-2870 | 2019-05-07 |
| 1396244893 | Eydie Yvonne Flygare | Counselor | 8131 Medellin Cir Unit A, Anchorage, AK 99507-3270 | 2018-02-09 |
| 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.