NPIMap

Organization Active NPI

Anchorage Community Mental Health Services Inc.

Doing business as Steven A. Cohen Military Family Clinic at Alaska Behavioral Health

  • Community/Behavioral Health Agency
  • Fairbanks, AK
National Provider Identifier
1699354381
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES INC.
Doing business as
Steven A. Cohen Military Family Clinic at Alaska Behavioral Health
Practice address
926 Aspen St
Fairbanks, AK 99709-5501
Phone
(907) 762-8625
NPI assigned
Apr 7, 2021
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Ashley Evenson
Title
Billing Manager
Phone
(907) 261-5317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

926 Aspen St
Fairbanks, AK 99709-5501

Mailing address

926 Aspen St
Fairbanks, AK 99709-5501

Other identifiers 1

IdentifierTypeStateIssuer
K0000WCGNGOtherMEDICARE

Other names 1

  • Steven A. Cohen Military Family Clinic at Alaska Behavioral Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL AKBH.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000942 AK Part B Supplier - Clinic/Group Practice 1052213089 Receives reassigned benefits from 44 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wasilla, AK; Fairbanks, AK; Eielson AFB, AK; Anchorage, AK

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Tax ID family
Anchorage Com Mental HL31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

Locations

4120 Laurel St
Ste 200
Anchorage, AK 99508

1423 Peger Rd
Fairbanks, AK 99709
Phone (907) 371-1300

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": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1699354381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 ASPEN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 ASPEN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095501",
            "telephone_number": "907-762-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "EVENSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "907-261-5317"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K0000WCGNG",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AKBH.org",
            "affiliation": "N",
            "address_1": "3301 Broadway Ave",
            "city": "Eielson AFB",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997022302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Steven A. Cohen Military Family Clinic at Alaska Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Steven A. Cohen Military Family Clinic at Alaska Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.