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JARED MICHAEL ANDERSON
NPI 1295389120
Residential Treatment Facility, Emotionally Disturbed Children in Fairbanks, AK

Active since July 29, 2019
3101 LATHROP ST, FAIRBANKS, AK 99701(907) 459-4700 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jared Michael Anderson NPPES

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

JARED MICHAEL ANDERSON (NPI 1295389120) is an individual residential treatment facility, emotionally disturbed children provider in Fairbanks, Alaska and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1295389120
Entity TypeIndividualMale
Primary Taxonomy322D00000X
Provider Legal NameJARED MICHAEL ANDERSON
Location Address3101 LATHROP STFairbanks, AK 99701-7426
Mailing Address2252 Arlene DrFairbanks, AK 99705-7560
Phone(907) 459-4700
Sole ProprietorYes
Enumeration DateJuly 29, 2019
✔ NPI 1295389120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
3101 LATHROP ST, 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.

AMANDA ECKERT
Behavior Technician
3101 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-4700
ALEXIS C MOBIUS BA
Counselor (Mental Health)
3101 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-4700
HAILLEY ALEXIS COWL
Community Health Worker
3101 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-4700
DIANA IRENE LANNI
Behavior Technician
3101 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 987-8353
CASSANDRA DACKEN-HUTCHINSON
Behavior Technician
3101 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-4700
SUMMER DAWN HARTFORD
Behavior Technician
3101 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-4700
EVERETT TRUMAN GREEN
Counselor (Mental Health)
3101 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-4700
MICHAEL PHILLIP DENNIS JR.
Community Health Worker
3101 LATHROP ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (702) 725-3000

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 Jared Anderson's NPI number?

The NPI number for Jared Anderson is 1295389120. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Jared Anderson located?

Jared Anderson practices at 3101 Lathrop St, Fairbanks, AK 99701. The listed phone number is (907) 459-4700.

What is Jared Anderson's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Jared Anderson was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.