ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES (NPI# 1447661301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447661301 |
| Entity Type | Organization |
| Organization Name | ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES |
| Practice Address |
4020 Folker St Anchorage AK 99508-5321 |
| Practice Telephone | 9072615309 |
| Mailing Telephone | 9072615309 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | MS. ZORA S LESUEUR (PSYCHIATRIC NURSE/CLINICAL NURSE) |
| Authorized Official Telephone | 9075615309 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
6990 | AK | Ambulatory Health Care Facilities |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
6990 | AK | Ambulatory Health Care Facilities |
| Y | 310400000X | Assisted Living Facility | 6990 | AK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 574943789 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811513468 | Anchorage Community Mental Health Services | Community/Behavioral Health | 1612 Juneau Dr, Anchorage, AK 99501-5636 | 2020-06-19 |
| 1750609954 | Anchorage Community Mental Health Services | Clinic/Center | 4020 Folker St, Anchorage, AK 99508-5321 | 2010-05-12 |
| 1285731950 | Anchorage Community Mental Health Services | Counselor | 4045 Lake Otis Pkwy, Ste 101, Anchorage, AK 99508-5211 | 2006-09-17 |
| Street Address |
4020 FOLKER ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134173172 | Anchorage Community Mental Health | Clinic/Center | 4020 Folker St, Anchorage, AK 99508-5321 | 2006-05-22 |
| 1962003822 | Jenna Laine Moretz | Technician, Pathology | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-11-05 |
| 1487254926 | Luke Bradley Offord | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-10-26 |
| 1053918268 | Christopher Michael Hindman | Registered Nurse | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-10-01 |
| 1346857158 | Tatiana Faletoi | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-25 |
| 1770199903 | Garreth Edwin | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-22 |
| 1922614320 | Linda Setterberg | Behavior Technician | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-21 |
| 1104431667 | Noryln L Aquino | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-11 |
| 1326652223 | Yannick Hodgin | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-09-08 |
| 1891305488 | Alisha Rukovishnikoff | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164042 | Liveable Soulutions | Assisted Living Facility | 1504 W 47th Ave Unit B, Anchorage, AK 99503-6924 | 2020-11-02 |
| 1699372656 | Kathleen Corleto | Assisted Living Facility | 3180 Amanda Gayle Cir, Anchorage, AK 99507-2602 | 2020-10-02 |
| 1336754969 | Snow City Assisted Living Home, LLC | Assisted Living Facility | 2634 Carroll Pl Unit B, Anchorage, AK 99508-3821 | 2020-09-10 |
| 1750991733 | Uba Alh | Assisted Living Facility | 6730 E 10th Ave, Anchorage, AK 99504-1814 | 2020-08-05 |
| 1184233116 | Mckinley Care LLC | Assisted Living Facility | 337 E 4th Ave Unit B, Anchorage, AK 99501-2664 | 2020-07-27 |
| 1154949949 | Patrick L Sullivan | Assisted Living Facility | 3314 Dickson Rd, Anchorage, AK 99504-4035 | 2020-07-08 |
| 1699392035 | Open Arms Assisted Living West LLC | Assisted Living Facility | 3660 W 78th Ave, Anchorage, AK 99502-4471 | 2020-07-01 |
| 1760004998 | Guardian Angel | Assisted Living Facility | 8403 Mentra St, Anchorage, AK 99518-2906 | 2020-05-11 |
| 1235761230 | Golden Years LLC | Assisted Living Facility | 2941 Morgan Loop, Anchorage, AK 99516 | 2020-02-07 |
| 1710528435 | A Legacy Home Care, LLC | Assisted Living Facility | 6347 Rose Hip Cir, Anchorage, AK 99507-5457 | 2019-10-03 |
| 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.