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JACK CRESWELL III
NPI 1720964554
Community/Behavioral Health in Fairbanks, AK

Active since August 15, 2025
2550 LAWLOR RD, FAIRBANKS, AK 99709(907) 452-0800 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Creswell Iii NPPES

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

JACK CRESWELL III (NPI 1720964554) is an individual community/behavioral health provider in Fairbanks, Alaska and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1720964554
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameJACK CRESWELL III
Location Address2550 LAWLOR RDFairbanks, AK 99709-6458
Mailing Address797 Juniper Dr Apt EFairbanks, AK 99712-2764
Phone(907) 452-0800
Sole ProprietorYes
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1720964554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
2550 LAWLOR RD, Fairbanks, AK 99709
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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.

ROBERT LORD
Case Manager/Care Coordinator
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 452-8251
TANANA CHIEFS CONFERENCE
Substance Abuse Rehabilitation Facility
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 452-8251
RITA EAGLEHEAD B.ED.
Counselor (School)
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 455-4725
CAROLINE ELIZABETH RAMOS
Counselor (Addiction (Substance Use Disorder))
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 251-6943
KAREN MARIE LEY
Community/Behavioral Health
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 452-0800
SHAWNA LYNN HYTRY
Community/Behavioral Health
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 452-0800
LAURIE NORENE JOHN
Technician, Other
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 455-4725
MADELINE MARY DEREPENTIGNY
Counselor
2550 LAWLOR RD
FAIRBANKS, AK 99709
Fairbanks North Star Borough (907) 455-4725

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 Jack Creswell's NPI number?

The NPI number for Jack Creswell is 1720964554. It was assigned to this individual provider in the NPPES registry on August 15, 2025.

Where is Jack Creswell located?

Jack Creswell practices at 2550 Lawlor Rd, Fairbanks, AK 99709. The listed phone number is (907) 452-0800.

What is Jack Creswell's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Creswell was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.