ALYSSA MARIE AGNES


Address: 1521 S Cushman St, Fairbanks, AK 99701-6203
Phone: 9074528251

ALYSSA MARIE AGNES (NPI# 1740849819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740849819
Entity Type Individual
Full Name ALYSSA MARIE AGNES
Practice Address 1521 S Cushman St
Fairbanks
AK 99701-6203
Practice Telephone 9074528251
Mailing Telephone 9074528251
Enumeration Date 2019-06-11
Last Update Date 2019-06-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
AK Behavioral Health & Social Service Providers

Office Location

Street Address 1521 S CUSHMAN ST
City FAIRBANKS
State AK
Zip Code 99701-6203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841835980 Tanana Chiefs Conference Community/Behavioral Health 1521 S Cushman St, Fairbanks, AK 99701-6203 2019-11-13
1861053688 Virginia E Mccarty Counselor 1521 S Cushman St, Fairbanks, AK 99701-6203 2019-06-24
1538720123 Sirena C Linnear Counselor 1521 S Cushman St, Fairbanks, AK 99701-6203 2019-06-24
1639739956 George Denali Purvis Counselor 1521 S Cushman St, Fairbanks, AK 99701-6203 2019-06-18
1376103135 Barbara Gilson Counselor 1521 S Cushman St, Fairbanks, AK 99701-6203 2019-06-14
1831758879 Claudia J Vincent Counselor 1521 S Cushman St, Fairbanks, AK 99701-6203 2019-06-12

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104438365 Jalon Alexander Mccullough Counselor 542 4th Ave Ste B-101, Fairbanks, AK 99701-4707 2020-08-19
1881210474 Restore Incorported Counselor 1095 Tena Ave, Fairbanks, AK 99701-1422 2020-06-19
1669094553 Capricia Rochelle Cunningham Counselor 998 Blair Rd Apt A, Fairbanks, AK 99701-3214 2020-05-13
1972122158 Jessica Robertson Counselor 1211 Cushman St, Fairbanks, AK 99701-4680 2020-04-08
1306483755 Interior Aids Association Counselor 710 3rd Avenue, Fairbanks, AK 99701-4455 2019-12-04
1578119681 Katelyn Finister Counselor 542 4th Ave # B101, Fairbanks, AK 99701-4707 2019-08-14
1063064103 Christine Lynne Johnson Counselor 424 Ketchikan Ave, Fairbanks, AK 99701-3737 2019-07-09
1427618768 Fredrick Holmberg Counselor 1729 University Ave S Apt E40, Fairbanks, AK 99709-4976 2019-06-18
1700441599 Heather M Cripe Counselor 1089 Tazlina Ct, Fairbanks, AK 99701-1421 2019-05-07
1689239469 Caleb Luna Thomas Counselor 542 4th Ave Ste B, Fairbanks, AK 99701-4707 2019-05-07
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Competitor

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City FAIRBANKS
Zip Code 99701

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Dataset Information

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.

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