KENAI PENINSULA MENTAL HEALTH (NPI# 1588135776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588135776 |
| Entity Type | Organization |
| Organization Name | KENAI PENINSULA MENTAL HEALTH |
| Practice Address |
38231 Sterling, Hwy. Sterling AK 99672 |
| Practice Telephone | 9712510310 |
| Mailing Telephone | 9712510310 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Authorized Official Name | MRS. MARY E KUEPPER (OWNER/PROVIDER) |
| Authorized Official Telephone | 9712510310 |
| Authorized Official Credential | L.P.C-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
38231 STERLING, HWY. |
| City | STERLING |
| State | AK |
| Zip Code | 99672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821629874 | Nicole Delores Mc Trusty | Behavior Technician | 37017 Carter Way, Sterling, AK 99672 | 2020-01-29 |
| 1750946869 | Kim Matthew Kavanaugh | Counselor | 34090 Arabian Court, Sterling, AK 99672 | 2019-05-03 |
| 1366970857 | Michele Zelaya | Massage Therapist | 113 Front St, Nome, AK 99672 | 2017-05-26 |
| 1427484419 | Bonnie Smith | Chore Provider | 39065 Red Hill Street, Sterling, AK 99672 | 2013-09-23 |
| 1760750459 | Job Ready, Inc D.b.a Ready Care | Assisted Living Facility | 39160 Fairview Street, Sterling, AK 99672 | 2011-12-08 |
| 1861640013 | Sunrise Mountain Assisted Living, Inc | Assisted Living Facility | 39160 Fairview St, Sterling, AK 99672 | 2008-08-29 |
| 1245416148 | Sunrise Mountain Assisted Living | Assisted Living Facility | 39180 Fairview St, Sterling, AK 99672 | 2008-01-10 |
| 1770767949 | Jamie Panzero | Case Management | 36745 Fueding Lane, Sterling, AK 99672 | 2007-12-24 |
| 1285821652 | Kaye Marie Lawson | Specialist | 37365 Foc'sle Drive, Sterling, AK 99672 | 2007-10-01 |
| 1093901860 | Sadie Catherine Lansing | Physical Therapist | 33455 Sterling Hwy, Sterling, AK 99672 | 2007-09-14 |
| Find all providers in zip 99672 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402532 | Jill Christine Changizi-kerr | Counselor | Dulles Psychological Services, 21351 Gentry Drive, Ste. 200, Sterling, VA 20166-8512 | 2018-10-13 |
| 1750822144 | Lydia Butner | Counselor | 112 S Broadway Ave, Suite 5, Sterling, KS 67579-2133 | 2017-03-17 |
| 1316149958 | Judith Nmn Stephens | Counselor | 228 S 3rd St, Sterling, CO 80751-4275 | 2007-06-05 |
| 1912083742 | Stephanie Kolar | Counselor | 22636 Glenn Dr Ste 105, Sterling, VA 20164-4442 | 2006-10-27 |
| 1376638650 | Lillian Clarise St. Laurent | Counselor | 22636 Glenn Drive Suite 105, Sterling, VA 20164 | 2006-10-04 |
| 1235240805 | Russell Parrish Carlton Sr. | Counselor | 22636 Glenn Dr, Suite 105, Sterling, VA 20164-4494 | 2006-08-31 |
| 1114033354 | Pamela Denise St Joseph | Counselor | 2611 Woodlawn Rd, Sterling, IL 61081-4151 | 2006-08-21 |
| 1134156268 | Marta Louise Wells | Counselor | 210 S. 4th, Sterling, CO 80751 | 2006-06-26 |
| 1083231195 | Community Behavioral Health Services, LLC | Counselor | 915 S Division Ave, Sterling, CO 80751-4103 | 2020-07-06 |
| 1205461282 | Lindsay Moffatt | Counselor | 6 Pidgeon Hill Dr, Sterling, VA 20165-6146 | 2020-03-10 |
| Find all providers in STERLING | ||||
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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.