Divine Nganga, CDC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

30881 Eklutna Lake Rd
Chugiak, AK 99567-5166

Phone

(907) 793-3600

NPI assigned

Aug 25, 2020

Last updated

Jun 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shalom and Chris Homes LLC

  • Assisted Living Facility
  • Anchorage, AK
  • NPI 1619832714
  NPD Authorized official
• Cook Inlet Tribal Council, Inc

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1952101362
  NPD
• Alaska Children's Services, Inc.

  dba AK Child & Family

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anchorage, AK
  • NPI 1538281514
  NPD (past)
• Cook Inlet Tribal Council, Inc

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1437273000
  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1245843655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SAN JERONIMO DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082870",
            "telephone_number": "907-793-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30881 EKLUTNA LAKE RD",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675166",
            "telephone_number": "907-793-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Bragaw St",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995083436",
            "country_code": "US",
            "telephone_number": "907-562-5340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGANGA",
        "first_name": "DIVINE",
        "credential": "CDC I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.A",
            "identifier": "N.A",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "anchorage",
            "affiliation": "N",
            "address_1": "7521 Brayton Dr",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995072667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• My Ride LCC (My Ride LLC)
• Native Village of Eklutna (Eklutna Village Clinic)
• Native Vllage of Eklutna (Eklutna Village Behavioral Health)
• Nevells LLC (Nevells Occupational Therapy)
• Juliann Marie Nevells, MS, OTR/L
• Northern Hope Counseling
• Olga Iris Wasile (Peters Creek Medical Solutions)
• Toni Rae Osiecki, M.S. CCC-SLP
• Kirsten Owen, OT
• James Arter Patterson V

• Addiction (Substance Use Disorder) Counselor in Chugiak, AK
• Providers in Chugiak, AK by specialty
• Addiction (Substance Use Disorder) Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.