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QUENTIN OTTO DEMIENTIEFF
NPI 1447744024
Counselor in Bethel, AK

Active since June 18, 2018
1360 CALISTA DRIVE, BETHEL, AK 99559(907) 543-6830(907) 543-3471 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Quentin Otto Demientieff NPPES

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

QUENTIN OTTO DEMIENTIEFF (NPI 1447744024) is an individual counselor in Bethel, Alaska and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1447744024
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameQUENTIN OTTO DEMIENTIEFF
Location Address1360 CALISTA DRIVEBethel, AK 99559
Mailing AddressP.o. Box 528, Attn: Bh Sobering CenterBethel, AK 99559 · (907) 543-6830 · Fax (907) 543-3471
Phone(907) 543-6830
Fax(907) 543-3471
Sole ProprietorNo
Enumeration DateJune 18, 2018
✔ NPI 1447744024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1360 CALISTA DRIVE, Bethel, AK 99559
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Other Identifiers 1

Medicaid1020986AK

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.

SAMUEL MOSES
Counselor
1360 CALISTA DRIVE
BETHEL, AK 99559
Bethel (907) 543-6830
SVEN CLARENCE WILLIAMS
Counselor
1360 CALISTA DRIVE
BETHEL, AK 99559
Bethel (907) 543-6830
JEREMY MALVICH
Counselor
1360 CALISTA DRIVE
BETHEL, AK 99559
Bethel (907) 543-6830
MICHAEL RICHARD THOMAS
Counselor
1360 CALISTA DRIVE, BH SOBERING CENTER
BETHEL, AK 99559
Bethel (907) 543-6830
RITCHIE HALL
Counselor
1360 CALISTA DRIVE
BETHEL, AK 99559
Bethel (907) 543-6830
LEONA JOHANSSON
Case Manager/Care Coordinator
1360 CALISTA DRIVE
BETHEL, AK 99559
Bethel (907) 543-6830
CAROL HELENA EVON
Counselor
1360 CALISTA DRIVE, BH SOBERING CENTER
BETHEL, AK 99559
Bethel (907) 543-6830
RAQUELLE MARIAH DEGROTE
Counselor
1360 CALISTA DRIVE
BETHEL, AK 99559
Bethel (907) 543-6830

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 Quentin Demientieff's NPI number?

The NPI number for Quentin Demientieff is 1447744024. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Quentin Demientieff located?

Quentin Demientieff practices at 1360 Calista Drive, Bethel, AK 99559. The listed phone number is (907) 543-6830.

What is Quentin Demientieff's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Quentin Demientieff was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.