NPIMap

Organization Active NPI

Ahtna T' Aene Nene'

Doing business as Copper River Native Association

  • Mental Health Counselor
  • Copper Center, AK
National Provider Identifier
1194866871
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
36087 Issued in AK
Legal business name
AHTNA T' AENE NENE'
Doing business as
Copper River Native Association
Practice address
MP 111.5 Richardson Hwy
Copper Center, AK 99573-0508
Phone
(907) 822-5241
Fax
(907) 822-8801
NPI assigned
Feb 8, 2007
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Nikki R Wiedlund
Title
Patient Financial Services Manager
Phone
(907) 206-6812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 36087 AK Primary

Addresses

Primary practice location

MP 111.5 Richardson Hwy
Copper Center, AK 99573-0508

Mailing address

PO Box 383
Glennallen, AK 99588-0383
Phone (907) 822-5241

Other identifiers 2

IdentifierTypeStateIssuer
MH0641MedicaidAK
DA4434MedicaidAK

Other names 1

  • Copper River Native Association Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ahtna T' Aene Nene'8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1194866871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "GLENNALLEN",
            "state": "AK",
            "postal_code": "995880383",
            "telephone_number": "907-822-5241",
            "fax_number": "907-822-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MP 111.5 RICHARDSON HWY",
            "city": "COPPER CENTER",
            "state": "AK",
            "postal_code": "995730508",
            "telephone_number": "907-822-5241",
            "fax_number": "907-822-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHTNA T' AENE NENE'",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "WIEDLUND",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PATIENT FINANCIAL SERVICES MANAGER",
        "authorized_official_telephone_number": "907-206-6812"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "36087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH0641",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA4434",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper River Native Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Copper Center, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.