MAGEN MARIE SPENCER (NPI# 1710504774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710504774 |
| Entity Type | Individual |
| Full Name | MAGEN MARIE SPENCER |
| Credential | CDCI |
| Practice Address |
410 River Front Street Nenana AK 99760-0159 |
| Mailing Address |
Po Box 159 Nenana AK 99760-0159 |
| Practice Telephone | 9073478093 |
| Practice Fax Number | 9078325564 |
| Mailing Telephone | 9078325557 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Dry Creek & Coal Street, Healy, AK 997430128 | 9076832743 |
| Street Address |
410 RIVER FRONT STREET |
| City | NENANA |
| State | AK |
| Zip Code | 99760-0159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144718248 | Nenana Volunteer Fire/ems Department | Ambulance | 602 Market Street, Nenana, AK 99760 | 2018-04-25 |
| 1275954877 | Helen Sockpick | Community Health Worker | 1000 Greg Kruseck Avenue, Box 966, Nome, AK 99760 | 2013-12-27 |
| 1780011619 | Nathaniel Grimes | Community Health Worker | 806 E 6 St, Nenana, AK 99760 | 2013-10-10 |
| 1710258645 | Johanna Coghill | Community Health Worker | 806 G St., Nenana, AK 99760 | 2012-01-24 |
| 1477687374 | Municipality of Nenana | Ambulance | 307 E. 2nd St., Nenana, AK 99760 | 2007-03-15 |
| 1104951615 | Railbelt Mental Health Association | Clinic/Center | 207 East 2nd Street, Nenana, AK 99760 | 2007-02-23 |
| 1457588394 | Robin Carter | Registered Nurse | 806 G Street, Nenana, AK 99760-0160 | 2009-06-18 |
| 1801167739 | Janice Suckling | Community Health Worker | 806 G. St, Nenana, AK 99760-0369 | 2012-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144718248 | Nenana Volunteer Fire/ems Department | Ambulance | 602 Market Street, Nenana, AK 99760 | 2018-04-25 |
| 1780011619 | Nathaniel Grimes | Community Health Worker | 806 E 6 St, Nenana, AK 99760 | 2013-10-10 |
| 1710258645 | Johanna Coghill | Community Health Worker | 806 G St., Nenana, AK 99760 | 2012-01-24 |
| 1801167739 | Janice Suckling | Community Health Worker | 806 G. St, Nenana, AK 99760-0369 | 2012-01-24 |
| 1457588394 | Robin Carter | Registered Nurse | 806 G Street, Nenana, AK 99760-0160 | 2009-06-18 |
| 1477687374 | Municipality of Nenana | Ambulance | 307 E. 2nd St., Nenana, AK 99760 | 2007-03-15 |
| 1104951615 | Railbelt Mental Health Association | Clinic/Center | 207 East 2nd Street, Nenana, AK 99760 | 2007-02-23 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003830 | Lauren Marie Bennett | Counselor | 1170 Marsh Laurel Ave, North Pole, AK 99705-5969 | 2020-11-05 |
| 1285234419 | Amanda Paulette Gannon | Counselor | 201 Deermount St Fl 2, Ketchikan, AK 99901-6649 | 2020-10-27 |
| 1740889351 | Deborah Diane Merritt | Counselor | 362 Tyee St, Soldotna, AK 99669-7631 | 2020-10-23 |
| 1295334993 | Terria Jean Vandenhuerk | Counselor | 7125 Old Seward Hwy Ste 201, Anchorage, AK 99518-2282 | 2020-10-22 |
| 1588261630 | Maia Stack | Counselor | 222 Tongass Dr Bldg 1206, Sitka, AK 99835-9416 | 2020-10-01 |
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1104438365 | Jalon Alexander Mccullough | Counselor | 542 4th Ave Ste B-101, Fairbanks, AK 99701-4707 | 2020-08-19 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1285251397 | Elmer Eugene Johnson | Counselor | 184 Cityview Ave, Homer, AK 99603-7017 | 2020-07-06 |
| 1881210474 | Restore Incorported | Counselor | 1095 Tena Ave, Fairbanks, AK 99701-1422 | 2020-06-19 |
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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.