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FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC
NPI 1396417325
Counselor - Professional in Fairbanks, AK

Active since September 28, 2021
1521 HILTON AVE, FAIRBANKS, AK 99701(907) 563-1000 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fairbanks Community Mental Health Services, Llc NPPES

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

FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC (NPI 1396417325) is a healthcare organization registered as a professional in Fairbanks, Alaska and active in the NPI registry since September 2021. The organization lists Ashley Evenson, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1396417325
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameFAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC
Location Address1521 HILTON AVEFairbanks, AK 99701-4015
Mailing Address4020 Folker StAnchorage, AK 99508-5321
Phone(907) 563-1000
Organization SubpartNo
Authorized OfficialAshley EvensonBilling Manager · (907) 261-5317
Enumeration DateSeptember 28, 2021
NPPES CertifiedSeptember 28, 2021
✔ NPI 1396417325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1521 HILTON AVE, Fairbanks, AK 99701
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Other Identifiers 1

Medicaid1598661AK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

HUNTER MEGYESI
Behavior Technician
1521 HILTON AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 371-1300
SARAH MAE OHEARN
Behavior Technician
1521 HILTON AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 371-1300
POPPY LEA FLOTO
Behavior Technician
1521 HILTON AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 371-1300
ANNELIESE LLOYD
Behavior Technician
1521 HILTON AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 563-1000
JARED P SCHOENING
Behavior Technician
1521 HILTON AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 371-1300
DR. NATALIA A REYNOSO-EASLEY ED.D.
Behavior Technician
1521 HILTON AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 371-1300
ANGELA MARIE MCMULLIN
Behavior Technician
1521 HILTON AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 371-1300
JOSHUA CLAYTON FINE
Behavior Technician
1521 HILTON AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 371-1300

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 Fairbanks Community Mental Health Services, LLC's NPI number?

The NPI number for Fairbanks Community Mental Health Services, LLC is 1396417325. It was assigned to this organization in the NPPES registry on September 28, 2021.

Where is Fairbanks Community Mental Health Services, LLC located?

Fairbanks Community Mental Health Services, LLC is located at 1521 Hilton Ave, Fairbanks, AK 99701. The listed phone number is (907) 563-1000.

What is Fairbanks Community Mental Health Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Fairbanks Community Mental Health Services, LLC was last updated on September 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.