THEODORE LOLE TAUA (NPI# 1447894563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447894563 |
| Entity Type | Individual |
| Full Name | THEODORE LOLE TAUA |
| Practice Address |
741 N Bunn St Apt 4 Anchorage AK 99508-1696 |
| Mailing Address |
500 E Tudor Rd Ste 200 Anchorage AK 99503-7377 |
| Practice Telephone | 9073332468 |
| Mailing Telephone | 9073332468 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
741 N BUNN ST APT 4 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-1696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410901 | Maggie May Rhodes | Counselor | 741 N Bunn St Apt 4, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1285278309 | Kahnelijon Cassydro Mavaega | Case Manager/Care Coordinator | 741 N Bunn St Apt 4, Anchorage, AK 99508-1696 | 2019-10-31 |
| 1841834041 | Savanya Telesia Mavaega | Counselor | 741 N Bunn St Apt 4, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1437793635 | Justina Bih Beagnyam | Counselor | 741 N Bunn St Apt 4, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1134763337 | Vernita Terry Pogi | Counselor | 741 N Bunn St Apt 4, Anchorage, AK 99508-1696 | 2019-10-30 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409471 | Evangeline Tofa Lemaota | Counselor | 4960 Est. 43rd, B3, Anchorage, AK 99508-9950 | 2020-05-28 |
| 1770091696 | Jennifer D Dolphin | Counselor | 12355 Division St, Anchorage, AK 99515-3436 | 2018-01-12 |
| 1821547647 | Reuben Pike | Counselor | 9625 Independence Drive #308, Anchorage, AK 99507-4471 | 2016-09-22 |
| 1447614185 | Tawny Nesmith | Counselor | 12741 Tanada Loop, Anchorage, AK 99515-3825 | 2016-04-08 |
| 1730565045 | Chugachmiut, Inc. | Counselor | 1840 Bragaw St, Suite 110, Anchorage, AK 99508-3401 | 2015-08-10 |
| 1851700777 | Denali Cove Counseling Center | Counselor | 1565 Bragaw St Ste 201, Anchorage, AK 99508-3101 | 2014-08-05 |
| 1437588043 | Michael Jay Horton | Counselor | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2013-11-04 |
| 1356613988 | Pamela Shepherd | Counselor | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2012-01-27 |
| 1770860835 | Tamar Lubitsh | Counselor | 1320 Annapolis Dr, Anchorage, AK 99508-4310 | 2011-11-03 |
| 1902189442 | Margaret Feinstein | Counselor | 4320 Diplomacy Dr Ste 3121, Anchorage, AK 99508-5925 | 2011-09-21 |
| 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.