KENNETH W HOLMES (NPI# 1336313667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336313667 |
| Entity Type | Individual |
| Full Name | KENNETH W HOLMES |
| Credential | LPC |
| Practice Address |
3801 Lake Otis Pkwy Ste 200 Anchorage AK 99508-5234 |
| Practice Telephone | 9075502300 |
| Practice Fax Number | 9075618646 |
| Mailing Telephone | 9075502300 |
| Mailing Fax Number | 9075618646 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
195 | AK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598032229 | Kenneth Jason Holmes | Licensed Psychiatric Technician | 734 10th Ave, San Diego, CA 92101-6502 | 2011-11-23 |
| 1114982477 | Kenneth Winston Holmes | Specialist | 3330 W 177th St, Suite 3c, Hazel Crest, IL 60429-2001 | 2006-04-19 |
| Street Address |
3801 LAKE OTIS PKWY STE 200 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790710606 | Lucy Ljubicich Curtiss | Psychiatry & Neurology | 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5234 | 2006-07-11 |
| 1932373263 | Gail J Gladle | Counselor | 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5234 | 2008-04-17 |
| 1912171240 | Daniel J Marman | Marriage & Family Therapist | 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5234 | 2008-04-17 |
| 1023171071 | Jay D. Johnson | Pediatrics | 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5234 | 2006-12-19 |
| 1184725285 | Stephanie Joy Birdsall | Social Worker | 3801 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5234 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446182 | Anna Marie Luiken | Counselor | 1009 Fred Cir, Anchorage, AK 99515-2654 | 2020-10-29 |
| 1417569963 | Kristina Lynn Hentges | Counselor | 5131 Manytell Ave, Anchorage, AK 99516-4271 | 2020-08-17 |
| 1730745878 | Harsimranjeet Minhas | Counselor | 1040 1/2 W 19th Ave, Anchorage, AK 99503-1707 | 2019-05-14 |
| 1477118354 | Wesley Frank Brewington | Counselor | 3600 San Jeronimo Dr # 210, Anchorage, AK 99508-2870 | 2019-05-06 |
| 1003382706 | Rebecca Ann Shestakov | Counselor | 6952 Cutty Sark St, Anchorage, AK 99502-2809 | 2018-10-19 |
| 1952887960 | Joy Knight | Counselor | 6927 Old Seward Hwy Ste 201, Anchorage, AK 99518-2284 | 2018-07-12 |
| 1174031561 | Leslie Michelle Robertson | Counselor | 5138 Strawberry Rd, Anchorage, AK 99502-1921 | 2018-01-19 |
| 1770098972 | Wendi Joy Compton | Counselor | 810 W 2nd Ave, Anchorage, AK 99501-2018 | 2017-12-10 |
| 1780194019 | Mary Bartell | Counselor | 307 E Northern Lights Blvd Ste 101, Anchorage, AK 99503-2701 | 2017-09-30 |
| 1770017410 | Sayaka Maas | Counselor | 207 E Northern Lights Blvd Ste 125, Anchorage, AK 99503-2777 | 2017-04-19 |
| Find all providers in ANCHORAGE | ||||
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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.