Fairbanks Community Mental Health Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

68067 Issued in AK

Legal business name

FAIRBANKS COMMUNITY MENTAL HEALTH CENTER

Practice address

3830 South Cushman Street
Fairbanks, AK 99701

Phone

(907) 452-1575

NPI assigned

Jan 9, 2007

Last updated

Apr 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gail AtchisonNPI 1710217476

Title

Director

Phone

(907) 452-1575

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Gail Atchison

  • Mental Health Counselor
  • Fairbanks, AK
  • NPI 1710217476
  Authorized official Same address or phone

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1265581425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 SOUTH CUSHMAN STREET",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-452-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 SOUTH CUSHMAN STREET",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-452-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANKS COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "ATCHISON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "907-452-1575"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "68067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH0157",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairbanks Community Behavior Health Center
• Fairbanks Community Behavioral Health Center
• Fairbanks Community Behavioral Health Center
• Fairbanks Community Care Coordination
• Fairbanks Community Imaging, LLC
• Fairbanks Community Mental Health Services
• Fairbanks Community Mental Health Services, LLC
• Fairbanks Community Mental Health Services, LLC
• Fairbanks Community Mental Health Services, LLC
• Fairbanks Counseling and Adoption

• Mental Health Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.