Fairbanks Community Mental Health Services, LLC
NPI 1396417325ActiveOrganization· Counselor, Professional· Fairbanks, AK
Counselor, Professional in Fairbanks, Alaska, registered in NPPES in September 2021. The authorized official on file is Ashley Evenson, Billing Manager.
Overview
| NPI | 1396417325 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2021 |
| Last updated in NPPES | Sep 28, 2021 |
| Certified by provider | Sep 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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