OrganizationActive
Mat-Su Services for Children & Adults
NPI 1104950419 · Case Management Agency · Wasilla, AK
Mat-Su Services for Children & Adults is a Case Management Agency organization in Wasilla, AK (NPI 1104950419).
Provider details
- NPI number
- 1104950419
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kaleb Johnson, Executive Director(907) 352-1200
- License
- 403503 (AK)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1225 W Spruce Ave
Wasilla, AK 99654-5326
Phone: (907) 352-1200
Fax: (907) 352-1249
Street-level locationGet directions
Mailing address
1225 W Spruce Ave
Wasilla, AK 99654-5326
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Frequently asked questions
- What is Mat-Su Services for Children & Adults's NPI number?
- Mat-Su Services for Children & Adults's National Provider Identifier (NPI) is 1104950419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mat-Su Services for Children & Adults?
- Mat-Su Services for Children & Adults is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Mat-Su Services for Children & Adults located?
- Mat-Su Services for Children & Adults's practice location on file with NPPES is 1225 W Spruce Ave, Wasilla, AK 99654-5326.
- What is Mat-Su Services for Children & Adults's phone number?
- The practice phone number listed in the NPPES registry for Mat-Su Services for Children & Adults is (907) 352-1200.
- Who is the authorized official for Mat-Su Services for Children & Adults?
- The authorized official listed on Mat-Su Services for Children & Adults's NPPES record is Kaleb Johnson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mat-Su Services for Children & Adults's NPI active?
- Yes — Mat-Su Services for Children & Adults's NPI (1104950419) is active in the NPPES registry as of the last update on 2025-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.