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PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1407945389
Community Based Residential Treatment Facility, Mental Illness in Anchorage, AK

Active since October 11, 2006
3760 PIPER ST, SUITE LL 139, ANCHORAGE, AK 99508(907) 563-5006(907) 563-3217 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Sep 25, 2024, Sep 1, 2017 and 1 more (4 updates tracked since 2016).

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1407945389), doing business as Providence Crisis Recovery Center, is a healthcare organization registered as a community based residential treatment facility, mental illness in Anchorage, Alaska and active in the NPI registry since October 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1407945389
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address3760 PIPER ST, SUITE LL 139Anchorage, AK 99508-4665
Mailing AddressPo Box 4105Portland, OR 97208-4105 · (866) 907-1068 · Fax (425) 917-9141
Phone(907) 563-5006
Fax(907) 563-3217
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateOctober 11, 2006
Last NPPES UpdateMay 12, 20254 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1407945389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in AK · NOT NUMBERED
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X · License 512146 (AK)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
3760 PIPER ST, Anchorage, AK 99508
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Other Names 1

Doing Business AsProvidence Crisis Recovery Center

Other Identifiers 4

Medicaid1021061AK
Medicaid1584965AK
Other512146AK · State Of Alaska Community Care License
MedicaidMH3715AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

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.

SHANA G. HAMILTON
Counselor (Professional)
3760 PIPER ST, SUITE 1108
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6900
THERESA E PHILBRICK R.N.
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Anchorage Municipality (907) 563-5006
MELLISA J WRIGHT LPC
Counselor (Professional)
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6240
SHAMEEKA SMITH RN
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6240
MEGAN KREIDER M.H.S.
Specialist
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6522
CARRIE E ERICKSON R.N.
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Anchorage Municipality (907) 563-5006
HELEN SONNEVILLE CRAIG LCSW
Social Worker (Clinical)
3760 PIPER ST, SUITE 1108
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6900
MELISSA A MORRISSEY RN
Registered Nurse
3760 PIPER ST, SUITE LL139
ANCHORAGE, AK 99508
Anchorage Municipality (907) 212-6240

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 Providence Health & Services - Washington's NPI number?

The NPI number for Providence Health & Services - Washington is 1407945389. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Providence Crisis Recovery Center.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 3760 Piper St Suite Ll 139, Anchorage, AK 99508. The listed phone number is (907) 563-5006.

What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

What insurance does Providence Health & Services - Washington accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Providence Health & Services - Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Washington was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.