Organization Active NPI

Hometown Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1730988155
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOMETOWN BEHAVIORAL HEALTH, LLC
Practice address
1413 W 31St Ave
Anchorage, AK 99503-3624
Phone
(907) 433-9358
Fax
(907) 206-7179
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Authorized official

Name
Mr. Jonathon Edward Blum, ANPNPI 1558928580
Title
Psychiatric Nurse Practitioner
Phone
(907) 433-9358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1413 W 31St Ave
Anchorage, AK 99503-3624

Mailing address

23914 The Clearing Dr
Eagle River, AK 99577-9659
Phone (907) 433-9358

National Provider Directory

National Provider Directory

Locations

1413 W 31st Ave
Anchorage, AK 99503
Phone (907) 302-9164

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777161600000",
    "number": "1730988155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23914 THE CLEARING DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779659",
            "telephone_number": "907-433-9358",
            "fax_number": "907-206-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W 31ST AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033624",
            "telephone_number": "907-433-9358",
            "fax_number": "907-206-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "907-433-9358",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 26, 2026; 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.