SAMANTHA MACK


Address: 517 West Northern Lights, Anchorage, AK 99503
Phone: 9073024465

SAMANTHA MACK (NPI# 1972956274) 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) 1972956274
Entity Type Individual
Full Name SAMANTHA MACK
Practice Address 517 West Northern Lights
Anchorage
AK 99503
Mailing Address 3705 Arctic Blvd # 1058
Anchorage
AK 99503-5774
Practice Telephone 9073024465
Mailing Telephone 9073024465
Enumeration Date 2016-07-21
Last Update Date 2019-03-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
111206 AK Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2600 Denali St, Suite 302, Anchorage, AK 995032746 9072724407

Other Providers SAMANTHA MACK

NPI Name Taxonomy Address Enumeration
1124632674 Samantha M Mack Occupational Therapist 24 Hillcrest Cir, Portland, ME 04103-1443 2020-09-02
1801397104 Samantha Mack Behavior Technician 15721 N Greenway Hayden Loop Ste 103, Scottsdale, AZ 85260-1776 2018-02-22
1528185089 Samantha Elizabeth Mack Pathology 6116 E Warren Ave, Denver, CO 80222-5703 2007-03-22

Office Location

Street Address 517 WEST NORTHERN LIGHTS
City ANCHORAGE
State AK
Zip Code 99503

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020772 Miladis Mcduffie Massage Therapist 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 2020-10-15
1447804984 Bethany Lynn Becker Optometrist 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 2019-08-01
1265084933 Carr-gottstein Foods Co Durable Medical Equipment & Medical Supplies 2920 Seward Hwy, Anchorage, AK 99503 2019-07-12
1982268942 Rukiyia Smith Behavior Technician 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 2019-04-25
1245894310 Mary Kathleen Tate Specialist/Technologist 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 2019-04-24
1194295766 Kimberly Sue Trent Registered Nurse 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 2018-11-27
1659869089 Alaska Spine & Pain Center, LLC Chiropractor 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 2018-05-01
1235643123 Rosanne Louise Klouda Massage Therapist 213 Fireweed Ln, Anchorage, AK 99503 2017-11-30
1801309042 Online Care Group Alaska General Practice 200 W. 34th Ave, Anchorage, AK 99503 2017-11-09
1548773849 Leslie K Michalski Massage Therapist 510 W Tudor Rd Ste 9, Anchorage, AK 99503 2017-11-08
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033710157 Ida Brothers Counselor 2705 W 67th Ave, Anchorage, AK 99502-2222 2020-11-04
1831799287 Martina A Diamond Counselor 3616 Peterkin Ave, Anchorage, AK 99508-1131 2020-10-27
1598362972 Annette F Wilson Counselor 5674 Alora Loop, Anchorage, AK 99504-1050 2020-10-08
1386241917 Jerome Donald Velcheff Counselor 719 Edward St # B, Anchorage, AK 99504-1664 2020-10-06
1386241313 Lori Ann Velcheff Counselor 6800 Howard Ave, Anchorage, AK 99504-1870 2020-10-02
1063019107 Katherine Patricia Jerue Counselor 632 W 15th Ave, Anchorage, AK 99501-5006 2020-10-01
1518584267 Janna Harvey Counselor 2804 W Northern Lights Blvd Ste 280, Anchorage, AK 99517-3300 2020-06-29
1013547306 Samuel Peterson Counselor 4600 Debarr Rd, Anchorage, AK 99508-3103 2020-01-25
1750911335 Brandi Lyn Ropati-hunte Counselor 3406 Seppala Dr Unit B3406, Anchorage, AK 99517-1143 2020-01-22
1538704986 Ashley Locke Counselor 880 H St Ste 201, Anchorage, AK 99501-3450 2019-11-08
Find all providers in ANCHORAGE

Competitor

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City ANCHORAGE
Zip Code 99503

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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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