Individual provider Active NPI

Caprice Matukonis

  • Mental Health Counselor
  • Anchorage, AK
National Provider Identifier
1225645138
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1251 Muldoon Rd Ste 116
Anchorage, AK 99504-2098
Phone
(907) 274-8281
NPI assigned
Sep 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1251 Muldoon Rd Ste 116
Anchorage, AK 99504-2098

Mailing address

1251 Muldoon Rd Ste 116
Anchorage, AK 99504-2098
Phone (907) 274-8281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation Current Accepting new patients
Denali Family Services CurrentSince Sep 27, 2020 Accepting new patients
Southcentral Foundation CurrentSince Jan 1, 2024 Accepting new patients
Denali Family Services CurrentSince Mar 20, 2022 Accepting new patients
Southcentral Foundation Current Accepting new patients

Locations

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

4000 San Ernesto Ave
Anchorage, AK 99508
Phone (907) 729-5020

1251 Muldoon Rd
Ste 116
Anchorage, AK 99504
Phone (907) 274-8281

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/denalifs/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1225645138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 MULDOON RD STE 116",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042098",
            "telephone_number": "907-274-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 MULDOON RD STE 116",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042098",
            "telephone_number": "907-274-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUKONIS",
        "first_name": "CAPRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.