GRACE IN MOTION (NPI# 1639500515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639500515 |
| Entity Type | Organization |
| Organization Name | GRACE IN MOTION |
| Practice Address |
3504 Industrial Ave Suite 214 Fairbanks AK 99701-7376 |
| Mailing Address |
3504 Industrail Ave Suite 214 Fairbanks AK 99701 |
| Practice Telephone | 9074524673 |
| Practice Fax Number | 9074521430 |
| Mailing Telephone | 9074524673 |
| Mailing Fax Number | 9074521430 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |
| Authorized Official Name | PAIGE W METZGAR (CO-OWMER) |
| Authorized Official Telephone | 9074524673 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRACE IN MOTION | 8480 A Tyco Rd, Vienna, VA 22182-2247 |
| New York State Corporations | GRACE IN MOTION PHYSICAL THERAPY, PLLC | 1012 Little Meadows Road, Warren Center, Pa 188517726 |
| Street Address |
3504 INDUSTRIAL AVE SUITE 214 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-7376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811086853 | Mark Anthony Shields Sr. | Social Worker | 3504 Industrial Ave, Fairbanks, AK 99701-7376 | 2006-10-11 |
| 1609179399 | Kelly Andaloro | Counselor | 3504 Industrial Ave, Suite 220, Fairbanks, AK 99701-7376 | 2010-12-17 |
| 1487818829 | Samaritan Counseling Center | Community/Behavioral Health | 3504 Industrial Ave, 2nd Floor, Fairbanks, AK 99701-7376 | 2008-07-15 |
| 1649484668 | Philip Rudolph Kuehnert | Counselor | 3504 Industrial Ave, Fairbanks, AK 99701-7376 | 2007-05-09 |
| 1184769572 | Frederick J Schramm | Counselor | 3504 Industrial Ave, Fairbanks, AK 99701-7376 | 2007-02-21 |
| 1871636597 | Elizabeth Anne Kraska | Counselor | 3504 Industrial Ave, Upstairs, Fairbanks, AK 99701 | 2007-02-14 |
| 1689717316 | Caroline Jean Atkinson | Counselor | 3504 Industrial Ave, Fairbanks, AK 99701 | 2007-02-14 |
| 1588732887 | Pamela Sue Wescott | Psychologist | 3504 Industrial Ave, #105, Fairbanks, AK 99701-7390 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629583653 | Lynn H Hoffman | Counselor | 1182 Crown Rd, Fairbanks, AK 99709-2519 | 2017-12-13 |
| 1467838847 | Solomon Porch LLC | Counselor | 626 2nd St Ste 101, Fairbanks, AK 99701-3466 | 2015-08-07 |
| 1215325477 | Sunrise Counseling & Therapy Service LLP | Counselor | 626 2nd St Ste 303, Fairbanks, AK 99701-3466 | 2014-12-22 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1417274101 | Laurey Gronemeier | Counselor | 1340 Gull Rd, Fairbanks, AK 99712-1223 | 2010-04-21 |
| 1942364112 | David B Bates | Counselor | 122 10th Avenue, Fairbanks, AK 99701 | 2006-12-21 |
| 1053494898 | Terry Kelly | Counselor | 1716 University Ave S, Fairbanks, AK 99709-4904 | 2006-10-23 |
| 1174546519 | Karin Gillis | Counselor | 1403 Joliet Dr, Fairbanks, AK 99709-6746 | 2006-07-26 |
| 1720052137 | Joni Simpson | Counselor | 1405 Kellum St, Fairbanks, AK 99701-4102 | 2006-02-14 |
| 1023631983 | Timothy Ledna | Counselor | 3100 S Cushman St, Fairbanks, AK 99701-7516 | 2020-05-26 |
| Find all providers in FAIRBANKS | ||||
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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.