Jennifer Bourne
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Wasilla, AK
NPI 1801540356 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1801540356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 7010 E Bogard Rd BLDG 2
Wasilla, AK 99654-4711 - Phone
- (907) 373-4732
- Fax
- (907) 746-4749
- NPI assigned
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
7010 E Bogard Rd BLDG 2
Wasilla, AK 99654-4711
Mailing address
22301 W. Alsop Rd
Wasilla, AK 99623
Phone (907) 864-8202
Other providers in Wasilla, AK
- Audrey Bottomly
- Jamie Bottoms
- Angelina Bethany Bourasaw
- Heather Anne Bourasaw
- Alyssa Bourdukofsky
- Lisa Bouyea-Francies
- Madison Marie Bowers
- Elissa Joylynn Bowles
- Reeve Bowling
- Alys A Bowman
All providers in Wasilla, 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 Sep 11, 2026. 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.