Organization Active NPI

Goodlife Journey Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anchorage, AK
National Provider Identifier
1831859321
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GOODLIFE JOURNEY INC.
Practice address
2549 Cottonwood St
Anchorage, AK 99508-3933
Phone
(907) 222-2670
NPI assigned
Dec 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Authorized official

Name
Dr. Jana Zeedyk, PH.D.NPI 1457597767
Title
President
Phone
(907) 222-2670

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2549 Cottonwood St
Anchorage, AK 99508-3933

Mailing address

2549 Cottonwood St
Anchorage, AK 99508-3933
Phone (907) 222-2670

Other identifiers 1

IdentifierTypeStateIssuer
112151MedicaidOR

Other names 1

  • GoodLife Journey Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250908002171 AK Part B Supplier - Clinic/Group Practice 9638671753 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

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": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1831859321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 COTTONWOOD ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083933",
            "telephone_number": "907-222-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 COTTONWOOD ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083933",
            "telephone_number": "907-222-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLIFE JOURNEY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "ZEEDYK",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-222-2670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112151",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GoodLife Journey Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.