Individual provider Active NPI

Dannon Otomiko Mims

  • Mental Health Counselor
  • Anchorage, AK
National Provider Identifier
1699968693
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4045 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5227
Phone
(907) 337-5650
NPI assigned
Aug 22, 2007
Last updated
Aug 22, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4045 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5227

Mailing address

4045 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5227
Phone (907) 337-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Providence Health & Services - Washington Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Mind Matters Research LLC Past Accepting new patients

Locations

3760 Piper St
Ste 1108A
Anchorage, AK 99508
Phone (907) 212-6900

Interoperability endpoints

  • Direct secure messaging: dannonmims@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1699968693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 LAKE OTIS PKWY STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085227",
            "telephone_number": "907-337-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 LAKE OTIS PKWY STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085227",
            "telephone_number": "907-337-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "DANNON",
        "middle_name": "OTOMIKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.