Organization Active NPI

Rewilding Behavioral Health Services

  • Clinical Social Worker
  • Talkeetna, AK
National Provider Identifier
1174354922
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REWILDING BEHAVIORAL HEALTH SERVICES
Practice address
16255 E Pow Wow Trail
Talkeetna, AK 99676-1187
Phone
(907) 312-5822
Fax
(907) 313-8073
NPI assigned
Aug 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Kirsten Mae Strolle, LCSWNPI 1053935957
Title
Owner
Phone
(907) 312-5822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

16255 E Pow Wow Trail
Talkeetna, AK 99676-1187

Mailing address

PO Box 1187
Talkeetna, AK 99676-1187
Phone (907) 312-5822

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1174354922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "TALKEETNA",
            "state": "AK",
            "postal_code": "996761187",
            "telephone_number": "907-312-5822",
            "fax_number": "907-313-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16255 E POW WOW TRAIL",
            "city": "TALKEETNA",
            "state": "AK",
            "postal_code": "996761187",
            "telephone_number": "907-312-5822",
            "fax_number": "907-313-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWILDING BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "STROLLE",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-312-5822",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talkeetna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.