City of Valdez
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Valdez, AK
NPI 1962525097 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1962525097
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- NOT NUMBERED (AK)
- Legal business name
- CITY OF VALDEZ
- Practice address
- 911 Meals Avenue
Valdez, AK 99686 - Phone
- (907) 835-2838
- Fax
- (907) 834-1890
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Donald Wayne Anderson Jr.
- Title
- Assistant Secretary of Enrollments
- Phone
- (425) 358-9786
Corporate family (same tax ID) 1
Member of 1
Practitioners 16
-
Edmore Mangena, LPC
-
Glyn T. Deputy, LPC
-
James R Atkinson, LMFT
-
Debbie-Lynn H Gibson, LMSW
-
Janna Harvey, LPC
-
Tahnee R King, LCSW
-
James M Price, LPC, CDC II, MAC
-
Ronnie Boy Burns, DO
-
Rebekah R Jones, LPC
-
Belinda K Chambers, MS, RD, LCSW
-
Zaria R Gentle, LMSW
-
Amber Wellner, ANP
-
Matthew J Wadsworth, LCSW
-
Carolyn Frances Fry, QMHP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081224000150 | AK | Part B Supplier - Clinic/Group Practice | 9931261005 |
Receives reassigned benefits from 14 practitioners Practice locations: Valdez, AK |
National Provider Directory
- Tax ID family
- City of Valdez
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NOT NUMBERED | AK | Yes |
Addresses
Primary practice location
911 Meals Avenue
Valdez, AK 99686
Mailing address
PO Box 550
Valdez, AK 99686-0550
Phone (907) 835-2838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH2096 | Medicaid | AK |
Other names
- Providence Valdez Counseling Center
Other providers in Valdez, AK
- City of Valdez
- City of Valdez
- City of Valdez
- City of Valdez
- City of Valdez
- Coral A Clark
- Dustin E Clark
- Joel Ray Clark
- Connecting Ties Inc
- John S Cullen
All providers in Valdez, 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 May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.