DESERT SPRING BEHAVIORAL HEALTH, LLC (NPI# 1962803270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962803270 |
| Entity Type | Organization |
| Organization Name | DESERT SPRING BEHAVIORAL HEALTH, LLC |
| Practice Address |
290 N Willow St Wasilla AK 99654-7042 |
| Mailing Address |
Po Box 876023 Wasilla AK 99687-6023 |
| Practice Telephone | 9072031590 |
| Mailing Telephone | 9072031590 |
| Mailing Fax Number | 4356749380 |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | LISA MARIE MRZENA (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9073016668 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6593775-4405 | UT | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12101 E Palmer Wasilla Hwy, Palmer, AK 996458880 | 9072031590 | |
| 640 E 700 S Ste 205b, Saint George, UT 847705773 | 4357039647 | 4356749380 |
| Street Address |
290 N WILLOW ST |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821040999 | Lighthouse Family Medicine, Inc | Family Medicine | 290 N Willow St, Wasilla, AK 99654-7042 | 2006-05-17 |
| 1508481144 | Looking Forward Psychiatry and Counseling | Clinic/Center | 290 N Willow St, Wasilla, AK 99654-7042 | 2020-06-09 |
| 1053645770 | Lisa Marie Mrzena | Registered Nurse | 290 N Willow St, Wasilla, AK 99654-7042 | 2009-09-28 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670330 | Advanced Neuro Solutions | Community/Behavioral Health | 1075 S Check St Ste 211, Wasilla, AK 99654-8067 | 2020-05-13 |
| 1558980706 | Gentle Hands Care Assisted Living Home LLC | Community/Behavioral Health | 4092 W Marble Way, Wasilla, AK 99654-8752 | 2020-04-08 |
| 1578196192 | Hab Academy LLC | Community/Behavioral Health | 4314 S Pinnacle Peak Dr, Wasilla, AK 99623-0707 | 2020-02-21 |
| 1942830419 | Family Centered Services of Alaska | Community/Behavioral Health | 301 Danna Ave, Wasilla, AK 99654-5521 | 2020-01-23 |
| 1700422029 | Set Free Alaska, Inc. | Community/Behavioral Health | 7010 E Bogard Rd Bldg 2, Wasilla, AK 99654-4711 | 2019-11-21 |
| 1730621731 | Alaska Behavior Consultants | Community/Behavioral Health | 3861 S Cardiff Lane, Wasilla, AK 99623-1085 | 2016-11-08 |
| 1811301716 | Co Occuring Disorders Institute | Community/Behavioral Health | 280 W Sheridan Cir Apt 1, Wasilla, AK 99654-0526 | 2014-06-18 |
| 1235558016 | Alaska Full Circle Counseling Solutions LLC | Community/Behavioral Health | 133 E Swanson Ave, Wasilla, AK 99654-7025 | 2014-04-09 |
| 1073841789 | Set Free Alaska, Inc. | Community/Behavioral Health | 7010 E Bogard Rd Bldg 1, Wasilla, AK 99654-4711 | 2009-11-19 |
| 1043481088 | Ascent Treatment Counseling Services, LLC | Community/Behavioral Health | 5431 E Mayflower Ln Ste 5, Wasilla, AK 99654-7891 | 2008-03-18 |
| Find all providers in WASILLA | ||||
Please comment or provide details below to improve the information on DESERT SPRING BEHAVIORAL HEALTH, LLC.
| 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.