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SYDNEY GRISHAM
NPI 1124632419
Counselor - Addiction (Substance Use Disorder) in Wasilla, AK

Active since September 03, 2020
7010 E BOGARD RD, WASILLA, AK 99654(907) 373-4732 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2023, Sep 3, 2020 (2 updates tracked since 2020).

About Sydney Grisham NPPES

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

SYDNEY GRISHAM (NPI 1124632419) is an individual addiction (substance use disorder) provider in Wasilla, Alaska and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1124632419
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSYDNEY GRISHAM
Location Address7010 E BOGARD RDWasilla, AK 99654-4711
Mailing Address2521 E Mountain Village Dr Ste BWasilla, AK 99654-7377 · (907) 521-8144
Phone(907) 373-4732
Sole ProprietorYes
Enumeration DateSeptember 3, 2020
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1124632419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
7010 E BOGARD RD, Wasilla, AK 99654
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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.

ELIZABETH TUCKER KNECHT MS, CD
Counselor (Mental Health)
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732
CHAD RISINGER
Peer Specialist
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732
MR. CLINTON DEAVER FNP-BC
Nurse Practitioner (Family)
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732
MRS. JESSICA LYNN REISS
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732
KAYSE JENSEN
Student in an Organized Health Care Education/Training Program
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 746-4748
ASHLEIGH WENDT
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 746-4748
JANNA CARLSON
Counselor (Addiction (Substance Use Disorder))
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 746-4748
BONNIE BROOKS
Case Manager/Care Coordinator
7010 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-4732

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sydney Grisham's NPI number?

The NPI number for Sydney Grisham is 1124632419. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Sydney Grisham located?

Sydney Grisham practices at 7010 E Bogard Rd, Wasilla, AK 99654. The listed phone number is (907) 373-4732.

What is Sydney Grisham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Sydney Grisham was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.