Individual provider Active NPI

Michael Van Linden

  • Addiction (Substance Use Disorder) Counselor
  • Juneau, AK
National Provider Identifier
1265949465
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
5594 Aisek Street
Juneau, AK 99801-9980
Phone
(907) 780-3048
NPI assigned
Jan 9, 2018
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

5594 Aisek Street
Juneau, AK 99801-9980

Mailing address

5597 Aisek St
Juneau, AK 99801-9522
Phone (907) 780-3044

Other practice location 1

1613 Anka Street
Juneau, AK 99801-9522
Phone (907) 780-3044

Other practice location 2

5597 Aisek St
Juneau, AK 99801-9522
Phone (907) 780-3036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1265949465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5597 AISEK ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019522",
            "telephone_number": "907-780-3044",
            "fax_number": "907-780-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5594 AISEK STREET",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019980",
            "telephone_number": "907-780-3048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1613 Anka Street",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998019522",
            "country_code": "US",
            "telephone_number": "907-780-3044",
            "fax_number": "907-780-6083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5597 Aisek St",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998019522",
            "country_code": "US",
            "telephone_number": "907-780-3036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN LINDEN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-09",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.