PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1477563344
Community/Behavioral Health in Kodiak, AK
About Providence Health & Services Washington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1477563344), doing business as Providence Kodiak Island Counseling Center, is a healthcare organization registered as a community/behavioral health in Kodiak, Alaska and active in the NPI registry since August 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Providence Health & Services Washington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Providence Health & Services Washington, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1477563344. It was assigned to this organization in the NPPES registry on August 9, 2006. The provider is doing business as Providence Kodiak Island Counseling Center.
Where is Providence Health & Services Washington located?
Providence Health & Services Washington is located at 1818 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 481-2400.
What is Providence Health & Services Washington's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Providence Health & Services Washington enrolled in Medicare?
Yes. Providence Health & Services Washington is registered in the Medicare PECOS enrollment system.
When is Providence Health & Services Washington's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alaska, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Providence Health & Services Washington?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Providence Health & Services Washington. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (6), Clinical Social Worker (4) and Psychiatry (2). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Providence Health & Services Washington accept?
Health plans from 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 June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Providence Health & Services Washington · NPI 1477563344
Community/Behavioral Health organization in Kodiak, Alaska. Organization record, active in the CMS NPPES registry since August 9, 2006.
## Identity
- **NPI:** 1477563344 (Entity type: Organization)
- **Enumerated:** August 9, 2006
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Also known as:** PROVIDENCE KODIAK ISLAND COUNSELING CENTER (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 1818 E REZANOF DR, Kodiak, AK 99615-6505
- **Phone:** (907) 481-2400 · **Fax:** (907) 481-2419
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Alaska, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 14 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (6), Clinical Social Worker (4), Psychiatry (2); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2026
- **Other identifiers:** Medicaid MH 2237 & DA2237 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1477563344) · Data from the CMS NPPES public registry.