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CHUGACHMIUT NPI 1730565045


NPI Information

NPI: 1730565045
Provider Name: CHUGACHMIUT
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1840 BRAGAW ST STE 110
ANCHORAGE, AK
ZIP 99508
Phone: (907) 562-4155
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CHUGACHMIUT is a community behavioral health in Anchorage, AK. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CHUGACHMIUT NPI is 1730565045. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1840 BRAGAW ST STE 110
ANCHORAGE, AK
ZIP 99508-463
Phone: (907) 562-4155
Fax: (907) 563-2891

The provider's authorized official is Kelley Baker .
The authorized official title is Health Services Division Director and has the following contact phone number (907) 562-4155.

The enumeration date for this NPI number is 8/10/2015 and was last updated on 12/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorALASKANo
2101YA0400XCounselorAddiction (Substance Use Disorder)ALASKANo
3101YM0800XCounselorMental HealthALASKANo
4101YP2500XCounselorProfessionalALASKANo
5104100000XSocial WorkerALASKANo
61041C0700XSocial WorkerClinicalALASKANo
7251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11632379MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.