NPIMap

Organization Active NPI

Akeela Inc

  • Community/Behavioral Health Agency
  • Ketchikan, AK
National Provider Identifier
1689820979
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
942384 Issued in AK
Legal business name
AKEELA INC
Practice address
3050 Fifth Ave
Ketchikan, AK 99901
Phone
(907) 225-4135
Fax
(907) 258-6052
NPI assigned
Aug 18, 2008
Last updated
Jul 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Courtney Donovan
Title
Ceo
Phone
(907) 433-7040

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Substance Abuse Rehabilitation Facility 324500000X NU
Community/Behavioral Health Agency 251S00000X 942384 AK Primary

Addresses

Primary practice location

3050 Fifth Ave
Ketchikan, AK 99901

Mailing address

360 W Benson Blvd Ste 300
Anchorage, AK 99503-3953
Phone (907) 565-1200

Other identifiers 2

IdentifierTypeStateIssuer
MH9200MedicaidAK
1020971MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Akeela Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3050 Fifth Ave
Ketchikan, AK 99901
Phone (907) 225-4135

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1689820979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W BENSON BLVD STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033953",
            "telephone_number": "907-565-1200",
            "fax_number": "907-258-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 FIFTH AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "99901",
            "telephone_number": "907-225-4135",
            "fax_number": "907-258-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKEELA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-433-7040"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "942384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH9200",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020971",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.