Active NPI 1861215089 Individual Practitioner Female Practitioner

Michelle Poulos

Peer Specialist • Wasilla, AK

Professional Overview & Biography Verified Profile Summary

Michelle Poulos is a registered healthcare professional specializing in Peer Specialist in Wasilla, AK. Practice services are available at 7010 E BOGARD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7010 E Bogard Rd

Wasilla, AK 996544711

Telephone 9077464748

Fax 9077464750

Associated Practice Facility / Clinic

🏢 Set Free Alaska, Inc. Facility NPI 1073841789

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Wasilla, AK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

196 Specialists

Practicing in Wasilla, AK (581 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-05

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Diana Lucero

Counselor - Addiction (Substance Use Disorder)

NPI 1003560426

Kayse Jensen

Student in an Organized Health Care Education/Training Program

NPI 1053134270

Ashleigh Wendt

Counselor - Addiction (Substance Use Disorder)

NPI 1053194472

Terri Reed-Lewis

Counselor - Addiction (Substance Use Disorder)

NPI 1063109775

Janna Carlson

Counselor - Addiction (Substance Use Disorder)

NPI 1063228245

Ashley Randall

Counselor - Addiction (Substance Use Disorder)

NPI 1083502132

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 05, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location November 05, 2024

Registered at 7010 E BOGARD RD, WASILLA, AK 996544711 (Tel: 9077464748)

📍

Updated Business Mailing Address November 05, 2024

Registered at PO BOX 876741, WASILLA, AK 996876741

👤

Provider Name / Credentials Updated November 05, 2024

Recorded as MICHELLE POULOS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2024

Counselor

🟢

Initial NPI Registration & Enumeration November 05, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861215089

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 05, 2024

Last Update: November 05, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 876741

Wasilla, AK 996876741

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.