Alaska Marriage & Family Therapy Associates LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Anchorage, AK
NPI 1932811668 · NPPES record last updated Dec 6, 2024
Key facts
- NPI
- 1932811668
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- ALASKA MARRIAGE & FAMILY THERAPY ASSOCIATES LLC
- Practice address
- 1205 E International Airport Rd Ste 100
Anchorage, AK 99518-1409 - Phone
- (907) 570-6382
- Fax
- (888) 972-3679
- NPI assigned
- Dec 13, 2022
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark Hamilton
- Title
- Office Manager
- Phone
- (907) 782-9123
Practitioners 26
-
Duncan R Brooks, MS, LPC.
-
Douglas G Carpenter, PH.D.
-
Kathy Lynn Chastain, NURSE PRACTITIONER
-
Khala S Hamilton, LMFT
-
Kesley Mehrman-Gay, PSYD
-
Leticia Monrroy, MFTA
-
Cesar Rodgers, MA
-
Jacob Snell, MA
-
Johnathan Wright, PSY.D.
-
Joy Higgins, PSYD
-
Kyria Chrisp-Stashak, LPC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D2313114 | Alaska Marriage and Family Therapy Associates | Certificate of waiver | Oct 23, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
1205 E International Airport Rd Ste 100
Anchorage, AK 99518-1409
Mailing address
1205 E International Airport Rd Ste 100
Anchorage, AK 99518-1409
Phone (907) 570-6382
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2169239 | Other | AK | ALASKA BUSINESS LICENSE |
Other providers in Anchorage, AK
- Alaska Kidney & Diabetes Association
- Alaska Kidney Consultants
- Alaska Love and Care Alh LLC
- Alaska Lung and Nodule Center LLC
- Alaska Marriage & Family Therapy Associates
- Alaska Massage Company
- Alaska Medical Alliance LLC
- Alaska Medical Center
- Alaska Medical Services Inc.
- Alaska Medical Specialists PC
All providers in Anchorage, AK · Mental Health Clinic/Center (Including Community Mental Health Center) in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.