Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1477563344
Community/Behavioral Health in Kodiak, AK

Q: What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since August 09, 2006

1818 E REZANOF DR, KODIAK, AK 99615(907) 481-2400(907) 481-2419 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2025, Sep 3, 2019 (2 updates tracked since 2019).

On this page

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

NPI1477563344

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON

Location Address1818 E REZANOF DRKodiak, AK 99615-6505

Mailing AddressPo Box 31001-4162Pasadena, CA 91110-4162 · (907) 486-9500

Phone(907) 481-2400

Fax(907) 481-2419

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateAugust 9, 2006

Last NPPES UpdateJune 30, 20262 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1477563344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in AK · 297340

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 297340 (AK)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 297340 (AK)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 297340 (AK)

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 297340 (AK)

1818 E REZANOF DR, Kodiak, AK 99615

Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Kodiak Island Counseling Center

Other Identifiers 1

MedicaidMH 2237 & DA2237AK

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 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.

CORI D TAYLOR

Peer Specialist