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TANCEN WADE
NPI 1356948863
Peer Specialist in Fairbanks, AK

Active since October 07, 2020
542 4TH AVE STE B101, FAIRBANKS, AK 99701(907) 374-1097 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tancen Wade NPPES

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

TANCEN WADE (NPI 1356948863) is an individual peer specialist in Fairbanks, Alaska and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1356948863
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTANCEN WADE
Location Address542 4TH AVE STE B101Fairbanks, AK 99701-4707
Mailing AddressPo Box 73004Fairbanks, AK 99707-3004
Phone(907) 374-1097
Sole ProprietorNo
Enumeration DateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1356948863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

542 4TH AVE STE B101, Fairbanks, AK 99701
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Other Identifiers 1

Medicaid1687081AK

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.

SURECH DAWN KEMESONG
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
STAYSHA KELLY
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 750-9589
SHELISSA F THOMAS CDC1
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
CESSNIE J SANDERSON CNA, CMA
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
MARITZA DIONNE MIRANDA 08/29/8708
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
SHANNON DICKERSON
Counselor (Professional)
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
TIMOTHY THOMAS
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
JOZEY MARIA MARTELLARO
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097

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 Tancen Wade's NPI number?

The NPI number for Tancen Wade is 1356948863. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Tancen Wade located?

Tancen Wade practices at 542 4th Ave Ste B101, Fairbanks, AK 99701. The listed phone number is (907) 374-1097.

What is Tancen Wade's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tancen Wade was last updated on October 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.