MANIILAQ RECOVERY CENTER
NPI 1679799977
Counselor in Kotzebue, AK

Active since April 17, 2007
435 SECOND STREET TED STEVENS WAY, KOTZEBUE, AK 99752(907) 442-7648(907) 442-7821 Get Directions Write a Review

NPPES record last updated: December 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maniilaq Recovery Center NPPES

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

MANIILAQ RECOVERY CENTER (NPI 1679799977) is a healthcare organization registered as a counselor in Kotzebue, Alaska and active in the NPI registry since April 2007. The organization lists Sherry Ann Kulukhon, Treatment Services Supervisor, as its authorized official.

NPPES Registry Identity

NPI1679799977
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameMANIILAQ ASSOCIATION
Location Address435 SECOND STREET TED STEVENS WAYKotzebue, AK 99752-0256
Mailing Address435 Second Street Ted Stevens Way, Po Box 256Kotzebue, AK 99752-0256 · (907) 442-7648 · Fax (907) 442-7821
Fax(907) 442-7821
Organization SubpartYes
Authorized OfficialSherry Ann KulukhonTreatment Services Supervisor · (907) 442-7648
Enumeration DateApril 17, 2007
Last NPPES UpdateDecember 22, 2008
NPI 1679799977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in AK · 3059
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.
435 SECOND STREET TED STEVENS WAY, Kotzebue, AK 99752

Other Names 1

Doing Business AsManiilaq Recovery Center

Other Identifiers 1

MedicaidMHO 212AK

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
435 SECOND STREET TED STEVENS WAY
KOTZEBUE, AK 99752
Counselor (Mental Health)
435 SECOND STREET TED STEVENS WAY
KOTZEBUE, AK 99752

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 Maniilaq Association's NPI number?

The NPI number for Maniilaq Association is 1679799977. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Maniilaq Recovery Center.

Where is Maniilaq Association located?

Maniilaq Association is located at 435 Second Street Ted Stevens Way, Kotzebue, AK 99752. The listed phone number is (907) 442-7648.

What is Maniilaq Association'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 Maniilaq Association was last updated on December 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.