Individual provider Active NPI

Michelle Jett, AAS, CDC II, BHC II

  • Addiction (Substance Use Disorder) Counselor
  • Anchorage, AK
National Provider Identifier
1295158988
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
4701 Business Park Blvd Ste J20
Anchorage, AK 99503-7170
Phone
(907) 677-7709
Fax
(907) 677-7095
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

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

Addresses

Primary practice location

4701 Business Park Blvd Ste J20
Anchorage, AK 99503-7170

Mailing address

700 W 6TH Ave
Suite 208
Anchorage, AK 99501-2165
Phone (907) 677-7709

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
Credentials
Associate of Applied Science

Practice roles

OrganizationSpecialtyStatusNew patients
Jett Morgan Treatment Services, LLC Addiction (Substance Use Disorder) CurrentSince May 22, 2022 Accepting new patients
Jett Morgan Treatment Services, LLC CurrentSince May 22, 2022 Accepting new patients

Locations

4701 Business Park Blvd
Ste J20
Anchorage, AK 99503
Phone (907) 677-7709

Organizations & group practices 2

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": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1295158988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 6TH AVE",
            "address_2": "SUITE 208",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012165",
            "telephone_number": "907-677-7709",
            "fax_number": "907-677-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 BUSINESS PARK BLVD STE J20",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037170",
            "telephone_number": "907-677-7709",
            "fax_number": "907-677-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "AAS, CDC II, BHC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.