Individual provider Active NPI

Luteru Tisega Taliulu

  • Addiction (Substance Use Disorder) Counselor
  • Anchorage, AK
National Provider Identifier
1831754449
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
3149 Mountain View Dr
Anchorage, AK 99501-3106
Phone
(907) 793-3629
Fax
(907) 868-8948
NPI assigned
May 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X AK Primary

Addresses

Primary practice location

3149 Mountain View Dr
Anchorage, AK 99501-3106

Mailing address

3600 San Jeronimo Dr Ste 310
3149 Mt. View Dr. Anchorage, Alaska 99501
Anchorage, AK 99508-2870
Phone (907) 793-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Inlet Tribal Council, Inc PastSince Mar 20, 2025 Accepting new patients
Cook Inlet Tribal Council, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/citci/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1831754449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SAN JERONIMO DR STE 310",
            "address_2": "3149 MT. VIEW DR. ANCHORAGE, ALASKA 99501",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082870",
            "telephone_number": "907-793-3200",
            "fax_number": "907-793-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 MOUNTAIN VIEW DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013106",
            "telephone_number": "907-793-3629",
            "fax_number": "907-868-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIULU",
        "first_name": "LUTERU",
        "middle_name": "TISEGA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "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 Sep 17, 2025; 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.