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SUSIE KATHERINE MITKOV
NPI 1669105375
Counselor - Addiction (Substance Use Disorder) in Fairbanks, AK

Active since July 08, 2022
1521 S CUSHMAN ST, FAIRBANKS, AK 99701(907) 452-8251(907) 459-3842 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susie Katherine Mitkov NPPES

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

SUSIE KATHERINE MITKOV (NPI 1669105375) is an individual addiction (substance use disorder) provider in Fairbanks, Alaska and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1669105375
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSUSIE KATHERINE MITKOV
Location Address1521 S CUSHMAN STFairbanks, AK 99701-6203
Mailing Address1521 S Cushman StFairbanks, AK 99701-6203 · (907) 452-8251 · Fax (907) 459-3842
Phone(907) 452-8251
Fax(907) 459-3842
Sole ProprietorNo
Enumeration DateJuly 8, 2022
NPPES CertifiedJuly 8, 2022
✔ NPI 1669105375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1521 S CUSHMAN ST, Fairbanks, AK 99701
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Other Names 1

Former Name (1)Susie Katherine Burris N/a

Other Identifiers 1

Other5191621AK · Driver's License

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.

MRS. CELINA NICHOLE RISNER CDC I
Counselor (Addiction (Substance Use Disorder))
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
KAYLA ALEXIS LEU CLARK
Counselor (Addiction (Substance Use Disorder))
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 750-6270
CRYSTALENA SAM
Peer Specialist
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
MRS. LYNDA JEAN PURVIS CDC I
Community Based Residential Treatment Facility, Mental Illness
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
MS. KATELYN TAMARA HOLMBERG
Counselor
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
PAULINE ELIZABETH SMITH
Counselor (Mental Health)
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
MEGAN ZOOK
Counselor (Addiction (Substance Use Disorder))
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
SUSANNA PITKA
Peer Specialist
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251

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 Susie Mitkov's NPI number?

The NPI number for Susie Mitkov is 1669105375. It was assigned to this individual provider in the NPPES registry on July 8, 2022. The provider is also known as Susie Katherine Burris N/A.

Where is Susie Mitkov located?

Susie Mitkov practices at 1521 S Cushman St, Fairbanks, AK 99701. The listed phone number is (907) 452-8251.

What is Susie Mitkov's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Susie Mitkov was last updated on July 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.