HARRISON MANN (NPI# 1629676192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629676192 |
| Entity Type | Individual |
| Full Name | HARRISON MANN |
| Practice Address |
1251 Muldoon Rd Ste 116 Anchorage AK 99504-2098 |
| Practice Telephone | 9072748281 |
| Mailing Telephone | 9072748281 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1251 MULDOON RD STE 116 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-2098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780893354 | Meghann Mcevoy | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2007-05-21 |
| 1447859038 | Patricia Franco | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-23 |
| 1427657253 | Mark Edward Arena | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-22 |
| 1538768478 | Michael Lee Gray | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-21 |
| 1427657576 | Leila Wilhelmina Spelman | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-20 |
| 1447859715 | Brooke Levi Campbell | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-19 |
| 1952909376 | Alexander Charles Pendrey | Social Worker | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-16 |
| 1366040784 | Malcolm Shaquille Bodison | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-16 |
| 1871191510 | Dustin Mueller | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-14 |
| 1679171441 | Jacalyn Linda Mckay | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998223 | Patricia Main | Peer Specialist | 2601 W 34th Ave Apt 7, Anchorage, AK 99517-2142 | 2020-10-07 |
| 1811534803 | Colleen H Ward-wilson | Peer Specialist | 3600 San Jeronimo Dr Ste 300, Anchorage, AK 99508-2870 | 2019-12-09 |
| 1538701222 | Betty Jo Shepherd-hebb | Peer Specialist | 4110 Debarr Rd Spc G17, Anchorage, AK 99508-3176 | 2019-10-14 |
| 1194366088 | Matalena Suitupe Lokeni | Peer Specialist | 7650 Mayfair Dr Apt C, Anchorage, AK 99502-7212 | 2019-10-02 |
| 1518573989 | Teresa Elaine Doyle | Peer Specialist | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-09-21 |
| 1447863089 | Sean Theodore Williams | Peer Specialist | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-08-24 |
| 1962013656 | Erica Lu Nielsen | Peer Specialist | 3760 Piper St Ste 1090, Anchorage, AK 99508-4683 | 2020-08-14 |
| 1407485154 | Cortney Anderson | Peer Specialist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2020-04-05 |
| 1013543800 | Robert Lee Seay II | Peer Specialist | 3600 San Jeronimo Dr, Anchorage, AK 99508-2870 | 2020-03-12 |
| 1023641412 | Rashad Dominic Arnsworth | Peer Specialist | 2825 W 42nd Ave, Anchorage, AK 99517-2830 | 2020-02-13 |
| 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.