Organization Active NPI

Volunteers of America Alaska, Benny SS

  • Community/Behavioral Health Agency
  • Anchorage, AK
National Provider Identifier
1427679307
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VOLUNTEERS OF AMERICA ALASKA, BENNY SS
Practice address
4515 Campbell Airstrip Rd
Anchorage, AK 99507-1267
Phone
(907) 279-9634
NPI assigned
May 1, 2020
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
VOLUNTEERS OF AMERICA ALASKAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Jennifer Mora
Title
Director of Billing
Phone
(219) 850-4084

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4515 Campbell Airstrip Rd
Anchorage, AK 99507-1267

Mailing address

2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Phone (907) 279-9634

Other practice location 1

8012 Stewart Mountain Dr
Eagle River, AK 99577-9013
Phone (907) 279-9634

Other practice location 2

2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Phone (907) 279-9634

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America Alaska Spring Hill Es25 organizations share this tax ID, including this one
Part of
Volunteers of America Alaska Spring Hill Es

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

4515 Campbell Airstrip Rd
Anchorage, AK 99507
Phone (907) 279-9634

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1427679307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 CORDOVA ST STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032745",
            "telephone_number": "907-279-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 CAMPBELL AIRSTRIP RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071267",
            "telephone_number": "907-279-9634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8012 Stewart Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995779013",
            "country_code": "US",
            "telephone_number": "907-279-9634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Cordova St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995032745",
            "country_code": "US",
            "telephone_number": "907-279-9634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA ALASKA, BENNY SS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VOLUNTEERS OF AMERICA ALASKA",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "219-850-4084"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 27, 2020; 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.