Active NPI
Jessica Ruth Moreland, LCSW
- Clinical Social Worker
- Gunnison, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 125887
- Practice address
- 710 N Taylor St
Gunnison, CO 81230-2244 - Phone
- (970) 641-0229
- Fax
- (970) 641-2949
- NPI assigned
- Oct 27, 2014
- Last updated
- Jan 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | 125887 | AK | Primary |
Addresses
Primary practice location
710 N Taylor St
Gunnison, CO 81230-2244
Mailing address
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone (907) 631-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 W Benson Blvd
BH Icm
Anchorage, AK 99503-3829
Phone (907) 729-6799
999 E Tudor Rd
SCF BSD Adult Outpatient Services
Anchorage, AK 99503-6123
Phone (907) 729-6799
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.77 of 100
- Quality
- 76.11
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000
1001 S Knik Goose Bay Rd
Wasilla, AK 99654
Phone (907) 631-7800
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BSD - McGrath
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McGrath, AK
- NPI 1780614263
TX
-
dba BH 1115- KKGB CFDS
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1659924108
-
dba Tribal/HPG- Benteh Nuutah Primary Care Center (BNPCC)
- Multi-Specialty Clinic/Center
- Wasilla, AK
- NPI 1386680056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1063817526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S KNIK GOOSE BAY RD",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548083",
"telephone_number": "907-631-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N TAYLOR ST",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812302244",
"telephone_number": "970-641-0229",
"fax_number": "970-641-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELAND",
"first_name": "JESSICA",
"middle_name": "RUTH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AK",
"license": "125887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gunnison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.