Active NPI
Mary Angelica Guilas-Hawver, MA, CDCI
- Case Manager/Care Coordinator
- Kodiak, AK
National Provider Identifier
1962835330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 717 Rezanof Dr E
Kodiak, AK 99615-6416 - Phone
- (907) 481-2400
- Fax
- (907) 481-2417
- NPI assigned
- Aug 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1546 | AK | |
| Case Manager/Care Coordinator | 171M00000X | AK | Primary |
Addresses
Primary practice location
717 Rezanof Dr E
Kodiak, AK 99615-6416
Mailing address
PO Box 2018
Kodiak, AK 99615-2018
Phone (907) 481-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH2237 | Medicaid | AK |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1546 | AK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1962835330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2018",
"city": "KODIAK",
"state": "AK",
"postal_code": "996152018",
"telephone_number": "907-481-2400",
"fax_number": "907-481-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 REZANOF DR E",
"city": "KODIAK",
"state": "AK",
"postal_code": "996156416",
"telephone_number": "907-481-2400",
"fax_number": "907-481-2417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILAS-HAWVER",
"first_name": "MARY",
"middle_name": "ANGELICA",
"name_prefix": "Ms.",
"credential": "MA, CDCI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-20",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AK",
"license": "1546",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MH2237",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kodiak, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.