Bereniz Blackwell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5590 Aisek St
Juneau, AK 99801-9522

Phone

(907) 780-3044

Fax

(907) 780-6083

NPI assigned

Mar 26, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Gastineau Human Services Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Juneau, AK
  • NPI 1720309693
  NPD (past)

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1336088012",
    "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": "5590 AISEK ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019522",
            "telephone_number": "907-780-3044",
            "fax_number": "907-780-6083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5597 Aisek St",
            "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"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "BERENIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birdland Ak LLC
• Rabia Azra Birkland, NURSE PRACTITIONER
• Sarah Woolcott Bixby-Dubois, O.D.
• Stacey Rae-Ann Bjerkeset, LPN
• Arthur F Black
• Jeremiah J Blair
• Seth Blair
• Heidi Noelle Blanc, LPC
• Jessica Blanco, DMD
• Benjamin Blanford, BHA

• Case Manager/Care Coordinator in Juneau, AK
• Providers in Juneau, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.