NPIMap

Organization Active NPI

Jett Morgan Treatment Services, LLC

  • Adult Mental Health Clinic/Center
  • Anchorage, AK
National Provider Identifier
1184911851
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JETT MORGAN TREATMENT SERVICES, LLC
Practice address
4701 Business Park Blvd Ste J20
Anchorage, AK 99503-7170
Phone
(907) 677-7709
Fax
(907) 677-7095
NPI assigned
Jul 1, 2011
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Michelle Jett, AAS, CDC II, BHC IINPI 1295158988
Title
Director of Operations, Owner
Phone
(907) 677-7709

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 954236 AK
Addiction (Substance Use Disorder) Counselor 101YA0400X 954236 AK
Community/Behavioral Health Agency 251S00000X 954236 AK

Addresses

Primary practice location

4701 Business Park Blvd Ste J20
Anchorage, AK 99503-7170

Mailing address

400 W Tudor Rd
#A-400
Anchorage, AK 99503-6614
Phone (907) 677-7709

Other identifiers 1

IdentifierTypeStateIssuer
1688197MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Jett Morgan Treatment Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1184911851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W TUDOR RD",
            "address_2": "#A-400",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036614",
            "telephone_number": "907-677-7709",
            "fax_number": "907-677-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 BUSINESS PARK BLVD STE J20",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037170",
            "telephone_number": "907-677-7709",
            "fax_number": "907-677-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETT MORGAN TREATMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS, OWNER",
        "authorized_official_telephone_number": "907-677-7709",
        "authorized_official_credential": "AAS, CDC II, BHC II"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AK",
            "license": "954236",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "954236",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "954236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1688197",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.