NPIMap

Organization Active NPI

Anchorage Community Mental Health Services, Inc

Doing business as Alaska Behavioral Health

  • Community/Behavioral Health Agency
  • Fairbanks, AK
National Provider Identifier
1043037641
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES, INC
Doing business as
Alaska Behavioral Health
Practice address
926 Aspen St
Fairbanks, AK 99709-5501
Phone
(907) 371-1300
Fax
(907) 375-3142
NPI assigned
Sep 24, 2024
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashley Evenson
Title
RCM
Phone
(907) 261-5317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

926 Aspen St
Fairbanks, AK 99709-5501

Mailing address

4045 Lake Otis Pkwy Ste 209
Anchorage, AK 99508-5227
Phone (907) 563-1000

Other names 1

  • Alaska Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000942 AK Part B Supplier - Clinic/Group Practice 1052213089 Receives reassigned benefits from 44 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wasilla, AK; Fairbanks, AK; Eielson AFB, AK; Anchorage, AK

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Anchorage Com Mental HL31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1043037641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 LAKE OTIS PKWY STE 209",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085227",
            "telephone_number": "907-563-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 ASPEN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095501",
            "telephone_number": "907-371-1300",
            "fax_number": "907-375-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "EVENSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "907-261-5317"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.