FCMHS
NPI 1023445871
Community/Behavioral Health in Fairbanks, AK

Q: What is Fairbanks Community Mental Health Services, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since October 10, 2013CLIA 02D2148254 · Waiver

3830 S CUSHMAN ST, FAIRBANKS, AK 99701(907) 452-1575(907) 455-5287 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fcmhs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FCMHS (NPI 1023445871) is a healthcare organization registered as a community/behavioral health in Fairbanks, Alaska and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Darcie M Shaffer, Medical Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1023445871

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameFAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC

Location Address3830 S CUSHMAN STFairbanks, AK 99701-7530

Mailing Address1423 Peger RdFairbanks, AK 99709-5169 · (907) 371-1300 · Fax (907) 371-1386

Phone(907) 452-1575

Fax(907) 455-5287

Organization SubpartYesParent: Anchorage Community Mental Health Services, Inc.

Authorized OfficialDarcie M ShafferMedical Billing Manager · (907) 563-1000

Enumeration DateOctober 10, 2013

Last NPPES UpdateFebruary 3, 2021

NPPES CertifiedFebruary 3, 2021

✔ NPI 1023445871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

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.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

3830 S CUSHMAN ST, Fairbanks, AK 99701

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Other Names 1

Other NameFcmhs

Other Identifiers 1

Medicaid1596091AK

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D2148254

Fairbanks Community Mental Health Services · Fairbanks, AK

Active · expires May 6, 2028

CLIA Number02D2148254

Laboratory TypePhysician Office

Certificate Effective DateMay 7, 2026

Certificate Expiration DateMay 6, 2028

Laboratory DirectorMs. Hannah D. Mckinney

Laboratory Phone(907) 563-1000

Laboratory LocationFairbanks Community Mental Health Services1423 Peger Road, Fairbanks, AK 99709

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT MITCHELL RICKSON JR.

Counselor (Mental Health)