MR. JEFFREY DANIEL BRAKHAGE (NPI# 1578175253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578175253 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY DANIEL BRAKHAGE |
| Credential | LPC |
| Practice Address |
35477 Kenai Spur Hwy Ste 214 Soldotna AK 99669-7642 |
| Mailing Address |
Po Box 3222 Soldotna AK 99669-3222 |
| Practice Telephone | 9076716737 |
| Mailing Telephone | 9076716737 |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
155471 | AK | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
155471 | AK | Behavioral Health & Social Service Providers |
| Street Address |
35477 KENAI SPUR HWY STE 214 |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-7642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083176515 | Alaska Counseling and Wellness Center, LLC | Counselor | 155 Smith Way Ste 205, Soldotna, AK 99669-8060 | 2019-04-03 |
| 1437638178 | Mary Jo Mettler | Counselor | 36028 Dayspring St, Soldotna, AK 99669-8611 | 2018-08-13 |
| 1689047532 | Aurora Counseling and Counsultation, LLC | Counselor | 43335 Kalifornsky Beach Rd Ste 8, Soldotna, AK 99669-8250 | 2015-10-31 |
| 1689080947 | Tom Woodward Lpc Counselor LLC | Counselor | 238 Crest Dr, Soldotna, AK 99669-7425 | 2014-07-08 |
| 1144562166 | Mary Elizabeth Kuepper | Counselor | 44539 Sterling Hwy Ste 202, Soldotna, AK 99669-7920 | 2013-03-18 |
| 1588937445 | Peggy S Barkman | Counselor | 35037 Royal Pl, Soldotna, AK 99669-9755 | 2012-02-22 |
| 1700155546 | Lisa Kay Schmitter | Counselor | 405 E Redoubt, Soldotna, AK 99669 | 2011-12-23 |
| 1619181286 | Cara Bauer | Counselor | 230 E. Marydale, Suite 2, Soldotna, AK 99669-7648 | 2007-05-10 |
| 1992835086 | Christina Joy Stuive | Counselor | 156 College Rd, Soldotna, AK 99669-6400 | 2007-03-07 |
| 1649822230 | Aurora Counseling and Consultation | Counselor | 43335 Kalifornsky Beach Rd, Soldotna, AK 99669-8280 | 2019-07-12 |
| Find all providers in SOLDOTNA | ||||
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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.