MR. JERRY KOWCHEE SR. (NPI# 1073901005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073901005 |
| Entity Type | Individual |
| Full Name | MR. JERRY KOWCHEE SR. |
| Practice Address |
306 W 5th Avenue Nome AK 99762 |
| Mailing Address |
Po Box 966 Nome AK 99762-0966 |
| Practice Telephone | 9074433290 |
| Mailing Telephone | 9074433344 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
306 W 5TH AVENUE |
| City | NOME |
| State | AK |
| Zip Code | 99762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588865455 | Norton Sound Health Corporation | Community/Behavioral Health | 306 W 5th Avenue, Nome, AK 99762 | 2007-05-30 |
| 1205189131 | Angela Kim | Counselor | 306 W 5th Avenue, Nome, AK 99762 | 2012-10-16 |
| 1285908731 | Arthur Bannow | Counselor | 306 W 5th Avenue, Nome, AK 99762 | 2012-03-01 |
| 1770857369 | Laverne Saccheus | Registered Nurse | 306 W 5th Avenue, Nome, AK 99762 | 2012-02-29 |
| 1679870844 | Laurie Poston | Counselor | 306 W 5th Avenue, Nome, AK 99762-0966 | 2011-02-23 |
| 1518277326 | Pamela Hysong-shimazu | Social Worker | 306 W 5th Avenue, Nome, AK 99762-0966 | 2010-10-14 |
| 1235394537 | Darlene E Jemewouk | Day Training/Habilitation Specialist | 306 W 5th Avenue, Nome, AK 99762-0966 | 2008-07-25 |
| 1619137759 | Debbie Boolowon | Day Training/Habilitation Specialist | 306 W 5th Avenue, Nome, AK 99762-0966 | 2008-06-12 |
| 1376739466 | Katherine Washington | Day Training/Habilitation Specialist | 306 W 5th Avenue, Nome, AK 99762-0966 | 2007-09-21 |
| 1356537534 | James Rose | Day Training/Habilitation Specialist | 306 W 5th Avenue, Nome, AK 99762-0966 | 2007-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030773 | Aura Chasteen | Counselor | 907 Division Street, Nome, AK 99762 | 2020-07-09 |
| 1043858210 | Nome Public Schools | Point of Service | 2920 3.5 Nome-teller Hwy, Nome, AK 99762 | 2019-12-18 |
| 1194217638 | Kathryn Davis Mctigue | Dentist | Nome Bypass Rd, Nome, AK 99762 | 2018-05-31 |
| 1891296489 | Yonaton Sahar Davidson | Counselor | Nome Community Center, Nome, AK 99762 | 2018-02-28 |
| 1588186605 | Jennifer R Dean-johnson | Case Manager/Care Coordinator | 1000 Greg Kruschev, Nome, AK 99762 | 2017-07-11 |
| 1457717340 | Kristy Kunayak | Community Health Worker | Front Street 7059, Little Diomede, AK 99762 | 2016-01-07 |
| 1265828743 | Diane Paniptchuk | Community Health Worker | 1000 Kruschak Ave, Nome, AK 99762 | 2015-04-10 |
| 1710384185 | Helen M Eningowuk | Community Health Worker | 1000 Greg Kruscheck Ave, Nome, AK 99762 | 2014-12-01 |
| 1194122671 | Crystal Lynn Fagerstrom | Community Health Worker | 39 Punguk Street, Golovin, AK 99762 | 2014-11-26 |
| 1699187161 | Cynthia Barrand | Counselor | 1000 Greg Kruscheck, Nome, AK 99762 | 2014-06-02 |
| Find all providers in zip 99762 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673645 | Colleen Dee Reynolds | Counselor | 607 Division Street, Nome, AK 99762 | 2019-08-02 |
| 1750883211 | Bertha Carol Koweluk | Counselor | 607 Division Street, Nome, AK 99762 | 2018-03-01 |
| 1114433497 | Robert Prince | Counselor | 607 Division Street, Nome, AK 99762 | 2017-12-21 |
| 1538697297 | Omar Bernardo Gomez Salgado | Counselor | Po Box 966, Nome, AK 99762-0966 | 2017-05-25 |
| 1124568639 | Sherri J Anderson | Counselor | 607 Division St., Nome, AK 99762-0966 | 2017-03-02 |
| 1700323433 | Rhianna Schell | Counselor | 607 Division St., Nome, AK 99762 | 2017-01-19 |
| 1831646314 | Ian Foster | Counselor | 607 Division Street, Nome, AK 99762-1065 | 2016-09-01 |
| 1164886420 | Iris Olanna | Counselor | 607 Division Street, Nome, AK 99762-0966 | 2016-04-12 |
| 1265896690 | Amber Ongtowasruk | Counselor | 607 Division St, Nome, AK 99762 | 2016-04-12 |
| 1518321033 | Daniel Grimmer | Counselor | 607 Division Street, Nome, AK 99762 | 2016-04-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.