Individual provider Active NPI

Josie Ellen Heyano

  • Social Worker
  • Anchorage, AK
National Provider Identifier
1336865393
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
196745 Issued in AK
Practice address
South Central Foundation
400 West Benson
Anchorage, AK 99503
Phone
(907) 251-7926
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 196745 AK Primary

Addresses

Primary practice location

South Central Foundation
400 West Benson
Anchorage, AK 99503

Mailing address

PO Box 90539
Anchorage, AK 99509-0539
Phone (907) 251-7926

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
196745AKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom Traditions Counseling Services, LLC CurrentSince Jan 22, 2024 Accepting new patients

Locations

401 W International Rd
Ste 27
Anchorage, AK 99518
Phone (907) 562-4540

401 W International Rd
Ste 17
Anchorage, AK 99518
Phone (907) 770-3656

Organizations & group practices 1

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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1336865393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90539",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995090539",
            "telephone_number": "907-251-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOUTH CENTRAL FOUNDATION",
            "address_2": "400 WEST BENSON",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-251-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYANO",
        "first_name": "JOSIE",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AK",
            "license": "196745",
            "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 Oct 12, 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.