MAT - SU HEALTH SERVICES INC.
NPI 1184725210
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wasilla, AK
NPI Status: Active since September 25, 2006
Contact Information
1363 W SPRUCE AVE
WASILLA, AK
ZIP 99654
Phone: (907) 376-2411
Fax: (907) 352-3363
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- Accepts Insurance
- CLIA Number: 02D1102577
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About MAT - SU HEALTH SERVICES INC.
This page provides the complete NPI Profile along with additional information for Mat - Su Health Services Inc., a provider established in Wasilla, Alaska operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1184725210 assigned on September 2006. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Kevin Munson (Ceo)
- NPI
- 1184725210
- Provider Name
- MAT - SU HEALTH SERVICES INC.
- Entity Type
- Organization
- Location Address
- 1363 W SPRUCE AVE WASILLA, AK 99654
- Location Phone
- (907) 376-2411
- Location Fax
- (907) 352-3363
- Mailing Address
- 1363 W SPRUCE AVE WASILLA, AK 99654
- Mailing Phone
- (907) 376-2411
- Mailing Fax
- (907) 352-3363
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-25-2006
- Last Update Date
- 06-10-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License State
- AK
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QF0400X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Pioneer Alaska Standard Bronze - PPO
- Moda Pioneer Alaska Standard Gold - PPO
- Moda Pioneer Alaska Standard Silver - PPO
- Moda Pioneer Bronze 6500 - PPO
- Moda Pioneer Bronze HDHP 5500 - PPO
- Moda Pioneer Gold 1500 - PPO
- Moda Pioneer Silver 4500 - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 021831 | MEDICARE PIN (08) | AK | |
| MH0469 | MEDICAID (05) | AK | |
| RH779FQ | MEDICAID (05) | AK | |
| 02-1831 | MEDICARE ID-TYPE UNSPECIFIED (04) | AK | MEDICARE PART-A FQHC |
| K0000WCHFH | MEDICARE ID-TYPE UNSPECIFIED (04) | AK | BEHAVIORAL HEALTH UNIT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 02D1102577
- Facility Type
- Community Clinic
- Certificate Effective Date
- July 22, 2009
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- NENA WENDZEL
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Mat - Su Health Services Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for MAT - SU HEALTH SERVICES INC.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 7 | 2 | 5 | 2 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 14 | 2 | 10 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 1 + 4 + 2 + 1 + 0 + 2 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1184725210 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881633691 | XENIA S GONZALEZ FNP Individual | Nurse Practitioner | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1679500060 | DR. SUSANNE RUTH DILLON MD Individual | Family Medicine | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1154500437 | LORELEI CREWDSON LCSW Individual | Social Worker (Clinical) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 352-3252 |
| 1790962512 | MR. JAMES WINFIELD HOLEN M.A., LPC Individual | Counselor (Mental Health) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1467620112 | LYNN GEORGINA BRANSON LCSW Individual | Counselor (Mental Health) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1467621722 | ANN AITKEN LPC Individual | Counselor (Professional) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1548420003 | MELBA WILLIS LPC Individual | Counselor (Professional) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1861648743 | MS. VIENA' S VERTEFEUILLE RN Individual | Registered Nurse (Psychiatric/Mental Health) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1750511267 | CATHY OKESON MS, CDCII Individual | Counselor (Mental Health) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1841504420 | KATHERINE LYNN FOSTER-DALMOLIN M.A. Individual | Counselor (Mental Health) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 352-3212 |
| 1881943850 | MADELINE KILBY-ORR RN Individual | Registered Nurse | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1306256011 | JANE CONARD Individual | Counselor (Mental Health) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1043482052 | MISS ROBIN BAYARD HUGHES LMSW Individual | Social Worker (Clinical) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1720435696 | CHELSIE DAUGHTRY RDH Individual | Dental Hygienist | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 352-3292 |
| 1699953158 | MR. JOHN ALLAN COOK LCSW Individual | Social Worker (Clinical) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1013308543 | MS. LISA BOUYEA-FRANCIES APRN-FNP Individual | Nurse Practitioner (Family) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1548824832 | KAREN COLLEEN JOHNSON CDCII, NCACII, SAP Individual | Counselor (Addiction (Substance Use Disorder)) | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 352-3286 |
| 1326010232 | KATHLEEN ELIZABETH YOUNG MB BCH ( MD EQUIVALE Individual | Family Medicine | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1972126704 | JONATHAN LEE CARROLL Individual | Case Manager/Care Coordinator | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
| 1083237705 | PETER WARD BENOIT Individual | Case Manager/Care Coordinator | 1363 W SPRUCE AVE WASILLA, AK 99654 (907) 376-2411 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184725210, enumerated in the NPI registry as an "organization" on September 25, 2006
The provider is located at 1363 W Spruce Ave Wasilla, Ak 99654 and the phone number is (907) 376-2411
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider might be accepting Accepts: Moda Health Plan, Inc., Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 02D1102577 for a "community clinic" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on September 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.