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DEWAYNE GENE JIMMIE
NPI 1215204664
Counselor - Addiction (Substance Use Disorder) in Fairbanks, AK

Active since November 29, 2011
122 1ST AVE, SUITE 400, FAIRBANKS, AK 99701(907) 452-8251 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dewayne Gene Jimmie NPPES

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

DEWAYNE GENE JIMMIE (NPI 1215204664) is an individual addiction (substance use disorder) provider in Fairbanks, Alaska and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1215204664
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDEWAYNE GENE JIMMIE
Location Address122 1ST AVE, SUITE 400Fairbanks, AK 99701-4803
Mailing Address122 1st Ave, Suite 400Fairbanks, AK 99701-4803 · (907) 452-8251
Phone(907) 452-8251
Sole ProprietorNo
Enumeration DateNovember 29, 2011
✔ NPI 1215204664 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
122 1ST AVE, Fairbanks, AK 99701
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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.

DR. MARK ANDREW CLIFFORD MD
Psychiatry & Neurology (Psychiatry)
122 1ST AVE, SUITE 600
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 750-4124
KRISTINA GUTGESELL BOSWOOD M.ED, LPC
Counselor (Professional)
122 1ST AVE, SUITE 600
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
MR. CHARLIE TITUS
Counselor (Addiction (Substance Use Disorder))
122 1ST AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
DEBRA ANN DAYTON
Dental Assistant
122 1ST AVE, 600
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
TANANA CHIEFS CONFERENCE
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
122 1ST AVE, SUITE 600 CLIENT DEVELOPMENT
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
PATTI ANN DAVIS
Case Manager/Care Coordinator
122 1ST AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-6434
TANANA CHIEFS CONFERENCE
Community Based Residential Treatment Facility, Mental Illness
122 1ST AVE, SUITE 400
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3800
GALE MARIA RAWSON LMSW
Social Worker (Clinical)
122 1ST AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3800

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 Dewayne Jimmie's NPI number?

The NPI number for Dewayne Jimmie is 1215204664. It was assigned to this individual provider in the NPPES registry on November 29, 2011.

Where is Dewayne Jimmie located?

Dewayne Jimmie practices at 122 1st Ave Suite 400, Fairbanks, AK 99701. The listed phone number is (907) 452-8251.

What is Dewayne Jimmie'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 Dewayne Jimmie was last updated on November 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.