TETA HARRELL (NPI# 1558916924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558916924 |
| Entity Type | Individual |
| Full Name | TETA HARRELL |
| Practice Address |
7010 E Bogard Rd Wasilla AK 99654-4711 |
| Mailing Address |
Po Box 876741 Wasilla AK 99687-6741 |
| Practice Telephone | 9077464748 |
| Mailing Telephone | 9077464748 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| 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 |
7010 E BOGARD RD |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285704247 | Jennifer Euler | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2006-11-08 |
| 1619577384 | Sophia Marie Mannhardt | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-10-30 |
| 1417555046 | Virginia Hughes | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-10-15 |
| 1376157289 | Cheryl Helaine Polk | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-09-08 |
| 1124632419 | Sydney Grisham | Peer Specialist | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-09-03 |
| 1689282907 | Macy Ann Dobbs | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-07-22 |
| 1386269439 | Alexandria Camille Palmer | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-06-15 |
| 1760007074 | Steven Ray | Peer Specialist | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-06-11 |
| 1821612177 | Nicholas Ian Carter | Peer Specialist | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-06-02 |
| 1326662941 | Jessica Herndon | Social Worker | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1619531217 | Antiqua Lisha Libbey | Counselor | 4821 S Outrigger Dr., Wasilla, AK 99687 | 2019-04-29 |
| 1225691025 | Rebecca Browning | Counselor | 26731 W Point Mackenzie Rd, Wasilla, AK 99623-8709 | 2019-04-17 |
| 1659722114 | Community Medical Services Montana-private, LLC | Counselor | 2521 E Mountain Village Dr Ste F, Wasilla, AK 99654 | 2016-06-27 |
| 1891112488 | Paul Bossart | Counselor | 1810 S Redwing Cir, Wasilla, AK 99654-9744 | 2014-03-21 |
| 1124321989 | Douglas Edward Smith | Counselor | 5431 E Mayflower Ln, Suite 5, Wasilla, AK 99654-7891 | 2010-12-16 |
| 1407170269 | Clifton Young IIi | Counselor | 701 E Parks Hwy Ste 203, Wasilla, AK 99654-8162 | 2010-03-23 |
| 1225268832 | Olive Tree Counseling, Inc. | Counselor | 5730 E Pilgrim Court, Suite A, Wasilla, AK 99654 | 2009-07-16 |
| 1285872317 | Rae Ann Hendrickson | Counselor | 5730 E Pilgrim Ct, Suite A, Wasilla, AK 99654-7824 | 2009-01-28 |
| Find all providers in WASILLA | ||||
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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.