NPIMap

Organization Active NPI

Kenaitze Indian Tribe

Doing business as Nakenu Family Center Mental Health Clinic

  • Community/Behavioral Health Agency
  • Kenai, AK
National Provider Identifier
1699986687
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KENAITZE INDIAN TRIBE
Doing business as
Nakenu Family Center Mental Health Clinic
Practice address
508 Upland St
Kenai, AK 99611-8026
Phone
(907) 335-7500
Fax
(888) 491-3243
NPI assigned
May 24, 2007
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
KENAITZE INDIAN TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Greg Burnett
Title
Finance Director
Phone
(907) 335-7200

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Private Vehicle 347C00000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

508 Upland St
Kenai, AK 99611-8026

Mailing address

PO Box 988
Kenai, AK 99611-0988
Phone (907) 335-7370

Other identifiers 1

IdentifierTypeStateIssuer
MH2436MedicaidAK

Other names 1

  • Nakenu Family Center Mental Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325000198 AK Part B Supplier - Clinic/Group Practice 4082506225 Receives reassigned benefits from 40 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kenai, AK; Soldotna, AK

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Kenaitze Indian Tribe3 organizations share this tax ID, including this one
Part of
Kenaitze Indian Tribe

Other organizations with this tax ID 2

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

Locations

508 Upland St
Kenai, AK 99611
Phone (907) 335-7300

510 Upland St
Kenai, AK 99611
Phone (907) 335-7300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1699986687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 988",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996110988",
            "telephone_number": "907-335-7370",
            "fax_number": "907-335-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UPLAND ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118026",
            "telephone_number": "907-335-7500",
            "fax_number": "888-491-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAITZE INDIAN TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENAITZE INDIAN TRIBE",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "907-335-7200"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MH2436",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nakenu Family Center Mental Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenai, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.