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MRS. ELLEN-ROSE TERESE GRAECA
NPI 1629369533
Counselor - Mental Health in Fairbanks, AK

Active since April 26, 2011
3830 S CUSHMAN ST, FAIRBANKS, AK 99701(907) 455-5304(907) 455-1460 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Ellen-rose Terese Graeca NPPES

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

MRS. ELLEN-ROSE TERESE GRAECA (NPI 1629369533) is an individual mental health provider in Fairbanks, Alaska and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1629369533
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ELLEN-ROSE TERESE GRAECA
Location Address3830 S CUSHMAN STFairbanks, AK 99701-7530
Mailing Address715 24th AveFairbanks, AK 99701-7003 · (907) 750-1213
Phone(907) 455-5304
Fax(907) 455-1460
Sole ProprietorYes
Enumeration DateApril 26, 2011
Last NPPES UpdateFebruary 17, 2012
✔ NPI 1629369533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3830 S CUSHMAN ST, Fairbanks, AK 99701
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Other Identifiers 2

Medicare PINK0000WCHCPAK
MedicaidMH0157AK

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.

MR. ROBERT MITCHELL RICKSON JR.
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
MS. PAULINE LIAN B.A.
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
TAMMY SUE KORB
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
FAIRBANKS COMMUNITY BEHAVIORAL HEALTH CENTER
Community/Behavioral Health
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
LENORA STOCKTON SEAY
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC
Community/Behavioral Health
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
MR. TYLER ANDREW MATLOCK
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-5304
GLEN STONE
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-5304

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 Ellen-rose Graeca's NPI number?

The NPI number for Ellen-rose Graeca is 1629369533. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is Ellen-rose Graeca located?

Ellen-rose Graeca practices at 3830 S Cushman St, Fairbanks, AK 99701. The listed phone number is (907) 455-5304.

What is Ellen-rose Graeca's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ellen-rose Graeca was last updated on February 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.