NPIMap

Organization Active NPI

Alaska Full Circle Counseling Solutions LLC

  • Community/Behavioral Health Agency
  • Wasilla, AK
National Provider Identifier
1235558016
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALASKA FULL CIRCLE COUNSELING SOLUTIONS LLC
Practice address
133 E Swanson Ave
Wasilla, AK 99654-7025
Phone
(907) 864-0560
Fax
(907) 864-0564
NPI assigned
Apr 9, 2014
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Mr. Jeffrey Vereide
Title
Program Manager
Phone
(907) 357-7962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

133 E Swanson Ave
Wasilla, AK 99654-7025

Mailing address

133 E Swanson Ave
Wasilla, AK 99654-7025
Phone (907) 864-0560

National Provider Directory

National Provider Directory

Locations

133 E Swanson Ave
Wasilla, AK 99654
Phone (907) 864-0560

Practitioners & affiliated clinicians

Practitioners 8

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": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1235558016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E SWANSON AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547025",
            "telephone_number": "907-864-0560",
            "fax_number": "907-864-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E SWANSON AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547025",
            "telephone_number": "907-864-0560",
            "fax_number": "907-864-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA FULL CIRCLE COUNSELING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "VEREIDE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "907-357-7962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.