NPIMap

Organization Active NPI

Wisdom Traditions Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Anchorage, AK
National Provider Identifier
1467775676
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WISDOM TRADITIONS COUNSELING SERVICES, LLC
Practice address
401 W International Airport Rd Ste 17
Anchorage, AK 99518
Phone
(907) 770-3656
Fax
(907) 562-4503
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Kimberly A. Hamilton
Title
Practice Manager
Phone
(941) 697-3100

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

401 W International Airport Rd Ste 17
Anchorage, AK 99518

Mailing address

401 W International Airport Rd Ste 17
Anchorage, AK 99518-1168
Phone (907) 770-3656

Other names 2

  • Alaska Wisdom Recovery Doing business as
  • Wisdom Traditions Counseling Services, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191029002982 AK Part B Supplier - Clinic/Group Practice 2567794217 Receives reassigned benefits from 13 practitioners
2 other NPIs on this enrollment
Practice locations: Anchorage, AK

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1467775676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W INTERNATIONAL AIRPORT RD STE 17",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181168",
            "telephone_number": "907-770-3656",
            "fax_number": "907-562-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W INTERNATIONAL AIRPORT RD STE 17",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99518",
            "telephone_number": "907-770-3656",
            "fax_number": "907-562-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM TRADITIONS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "941-697-3100"
    },
    "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": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Wisdom Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wisdom Traditions Counseling Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.