Jody Jo Asimakopoulos
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Soldotna, AK
NPI 1770145922 · NPPES record last updated Jan 7, 2021
Key facts
- NPI
- 1770145922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 4157 (AK)
- Practice address
- 245 N Binkley St Ste 202
Soldotna, AK 99669-7500 - Phone
- (907) 714-4522
- Fax
- (907) 260-4063
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4157 | AK | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Peninsula General Hospital, Inc | Past |
Accepting new patients | |
| Central Peninsula General Hospital, Inc | Past | Accepting new patients | |
| Central Peninsula General Hospital, Inc | Past | Accepting new patients | |
| Central Peninsula General Hospital Inc | Past | Accepting new patients | |
| Central Peninsula General Hospital, Inc | Past |
Accepting new patients |
Interoperability endpoints
- jasimakopoulos626201@ak.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4157 | AK | Yes |
Addresses
Primary practice location
245 N Binkley St Ste 202
Soldotna, AK 99669-7500
Mailing address
245 N Binkley St Ste 202
Soldotna, AK 99669-7500
Phone (907) 714-4522
Other practice location 1
47480 Kristina Way
Kenai, AK 99611-5902
Phone (907) 714-4521
Other practice location 2
354 Tyee St
Soldotna, AK 99669-7657
Phone (907) 714-4521
Other practice location 3
362 Tyee St
Soldotna, AK 99669-7631
Phone (907) 714-4521
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jasimakopoulos626201@ak.providencedirect.org |
Other providers in Soldotna, AK
- Arctic Chiropractic Soldotna LLC
- Arctic Wellness
- Naomi E Arenson
- Rachel Anne Arnold
- Eric Joseph Ashman
- Aspen Personal Care Services
- Aspen Physical Therapy PC
- Priscilla P Aster
- Aurora Counseling and Consultation
- Aurora Counseling and Counsultation, LLC
All providers in Soldotna, AK · Addiction (Substance Use Disorder) Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.