Community Christian Counseling Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

299221 Issued in AK

Legal business name

COMMUNITY CHRISTIAN COUNSELING CENTER

Practice address

11024 Auke Lake Way
Juneau, AK 99801

Phone

(907) 789-9055

Fax

(907) 789-2917

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Davis Belflower

Title

President of Board

Phone

(907) 789-2595

Specialties & licenses 1

Addresses

Other names 1

• Chapel By The Lake Samaritan Counseling Center Inc Former legal business name

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1164554887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211207",
            "city": "AUKE BAY",
            "state": "AK",
            "postal_code": "99821",
            "telephone_number": "907-789-9055",
            "fax_number": "907-789-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11024 AUKE LAKE WAY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-789-9055",
            "fax_number": "907-789-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHRISTIAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "BELFLOWER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "PRESIDENT OF BOARD",
        "authorized_official_telephone_number": "907-789-2595",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "299221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chapel By The Lake Samaritan Counseling Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christiaan FS Collier, NP-C
• William Jenell Collier II, DDS
• Kelly Collins
• Patricia J Collins, L.M.T.
• Elizabeth Ann Commodore, RN
• Bret Connell
• Patricia G Conners Allen, D C
• John Thomas Connolly Jr., MD
• Sarah Grace Conrad, AUD
• Andrew Conteh

• Mental Health Counselor in Juneau, AK
• Providers in Juneau, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.