MAT - SU HEALTH SERVICES INC.
NPI 1184725210
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wasilla, AK

Q: What is Mat - Su Health Services Inc.'s NPI number?

The NPI number for Mat - Su Health Services Inc. is 1184725210. It was assigned to this organization in the NPPES registry on September 25, 2006.

Q: What is Mat - Su Health Services Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since September 25, 2006CLIA 02D1046987 · Microscopy

1363 W SPRUCE AVE, WASILLA, AK 99654(907) 376-2411(907) 352-3363 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mat - Su Health Services Inc. NPPES

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

MAT - SU HEALTH SERVICES INC. (NPI 1184725210) is a healthcare organization registered as a mental health (including community mental health center) in Wasilla, Alaska and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through October 23, 2027 and lists Kevin Munson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184725210

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameMAT - SU HEALTH SERVICES INC.

Location Address1363 W SPRUCE AVEWasilla, AK 99654-5327

Mailing Address1363 W Spruce AveWasilla, AK 99654-5327 · (907) 376-2411 · Fax (907) 352-3363

Phone(907) 376-2411

Fax(907) 352-3363

Organization SubpartNo

Authorized OfficialKevin MunsonCeo · (907) 376-2411

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJune 10, 2010

✔ NPI 1184725210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

1363 W SPRUCE AVE, Wasilla, AK 99654

Open in Google Maps ↗

Other Identifiers 5

Medicare PIN021831AK

MedicaidMH0469AK

MedicaidRH779FQAK

Medicare ID-Type Unspecified02-1831AK · Medicare Part-a Fqhc

Medicare ID-Type UnspecifiedK0000WCHFHAK · Behavioral Health Unit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 02D1046987

Mat-Su Health Services Inc · Wasilla, AK

Active · expires Oct 23, 2027

CLIA Number02D1046987

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateOctober 24, 2025

Certificate Expiration DateOctober 23, 2027

Laboratory DirectorSusanne Dillon

Laboratory Phone(907) 376-2411

Laboratory LocationMat-Su Health Services Inc1363 West Spruce Avenue, Wasilla, AK 99654

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

PARIS TAYLOR LCSW-C

Counselor (Mental Health)