Cook Inlet Council on Alcohol and Drug Abuse

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE

Practice address

1230 Ocean Dr Unit 1
Homer, AK 99603-7911

Phone

(907) 235-8001

NPI assigned

Aug 29, 2019

Last updated

Aug 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherry Mettler

Title

Delegated Official

Phone

(907) 283-3658

Specialties & licenses 1

Addresses

Tax ID family

Cook Inlet Council on Alcohol and Drug Abuse5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Cook Inlet Council on Alcohol and Drug Abuse

  • Community/Behavioral Health Agency
  • Kenai, AK
  • NPI 1174171417
  NPD tax ID
• Cook Inlet Council on Alcohol and Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kenai, AK
  • NPI 1174792972
  NPD tax ID
• Cook Inlet Council on Alcohol and Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kenai, AK
  • NPI 1396897419
  NPD tax ID
• Cook Inlet Council on Alcohol and Drug Abuse

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Homer, AK
  • NPI 1679796528
  NPD tax ID

Locations

Practitioners 1

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.

• Gwendolynn Stacy Chickalusion, COUNSELOR TECHNICIAN

  • Addiction (Substance Use Disorder) Counselor
  • Homer, AK
  • NPI 1235911397
  NPD

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1740838085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996110882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 OCEAN DR UNIT 1",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037911",
            "telephone_number": "907-235-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK INLET COUNCIL ON ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "METTLER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "907-283-3658"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Connell, RBT
• Lillian Rose Connor, PTA
• Michael J Connors, O.D.
• Sean Conway
• Cook Inlet Council on Alcohol and Drug Abuse
• Christina Cooper
• Sharron Cotogno
• Patricia Louise Cue, MPH, RD, LD
• Jessica Daffron
• Stewart Daffron

• Community/Behavioral Health Agency in Homer, AK
• Providers in Homer, AK by specialty
• Community/Behavioral Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.