KATHLEEN EAGLE (NPI# 1902355167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902355167 |
| Entity Type | Individual |
| Full Name | KATHLEEN EAGLE |
| Credential | LPC |
| Practice Address |
3948 Ben Walters Ln Homer AK 99603-7708 |
| Practice Telephone | 9072357701 |
| Mailing Telephone | 9072357701 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
113119 | AK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778984 | Kathleen Eagle | Counselor | 9403 Kenwood Rd, Blue Ash, OH 45242-6895 | 2020-04-06 |
| 1619024890 | Kathleen Ann Eagle | Counselor | 914 Mission Ave, San Rafael, CA 94901-6106 | 2007-01-03 |
| Street Address |
3948 BEN WALTERS LN |
| City | HOMER |
| State | AK |
| Zip Code | 99603-7708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285640961 | South Peninsula Behavioral Health Services Inc | Community/Behavioral Health | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2006-08-01 |
| 1235730029 | Margaret Mitchell | Case Manager/Care Coordinator | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1619578440 | Cody Davidson | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1104427913 | Holly Bliss | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1578164398 | Russell Campbell | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1003417825 | Nathan Chorman | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1992306724 | Sharron Cotogno | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1144821976 | Brian Duffy | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1770184509 | Richard Everett | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
| 1528669314 | James Fisher | Case Manager/Care Coordinator | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2020-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
| 1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
| 1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
| 1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
| 1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
| 1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
| 1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
| 1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
| 1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
| 1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
| Find all providers in zip 99603 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053807370 | Marilyn Arnold Smith | Counselor | 647 W 3rd St, Homer, LA 71040-3215 | 2018-07-10 |
| 1447596200 | Sharon Elisa Mckemie Bauer | Counselor | 3691 Ben Walters Ln Ste 3, Rm # 8, Homer, AK 99603-7750 | 2012-12-26 |
| 1588925473 | Timothy Christopher Robinson | Counselor | 925 Seaplane Ct, Homer, AK 99603-7904 | 2012-06-06 |
| 1013298215 | Jason D. Pretzel | Counselor | 41495 Stellars Jay Dr, Homer, AK 99603-9438 | 2011-08-31 |
| 1942446612 | Tashawna Lillian Olson | Counselor | 42173 Rosewood Court, Homer, AK 99603-2914 | 2008-12-30 |
| 1366643181 | Elizabeth Benson | Counselor | 4105 Kachemak Way, Homer, AK 99603-7164 | 2007-05-30 |
| 1568476620 | Douglas Paul Morton | Counselor | 4060 Heath St, Homer Police Department, Homer, AK 99603-7609 | 2006-07-27 |
| 1356895692 | Rena Mcdonell | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2016-08-03 |
| 1295905453 | Lise Klein-kirsis | Counselor | 3948 Ben Walters Ln, Homer, AK 99603-7708 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446182 | Anna Marie Luiken | Counselor | 1009 Fred Cir, Anchorage, AK 99515-2654 | 2020-10-29 |
| 1811502859 | Alaska Telemedicine Consultants Inc | Counselor | 12461 Gilead Way, Willow, AK 99699 | 2020-09-15 |
| 1417569963 | Kristina Lynn Hentges | Counselor | 5131 Manytell Ave, Anchorage, AK 99516-4271 | 2020-08-17 |
| 1073121752 | Gina Thara Wall | Counselor | 17601 James Way, Eagle River, AK 99577-9254 | 2020-07-17 |
| 1154947893 | Jo Flesner | Counselor | 17101 Snowmobile Ln Ste 109, Eagle River, AK 99577-7043 | 2020-06-18 |
| 1437778602 | Kirklin Kinney | Counselor | 5801 E Bogard Rd, Wasilla, AK 99654-4267 | 2020-04-08 |
| 1144859703 | Gena Ruth Ornquist | Counselor | 1000 Josselin Ln, Palmer, AK 99645-7110 | 2020-04-06 |
| 1316587173 | Janet Daw | Counselor | 10714 Colville St, Eagle River, AK 99577-8287 | 2020-01-09 |
| 1588209225 | Elena A Martin | Counselor | 68 Willow Cir, Ketchikan, AK 99901-9530 | 2019-11-15 |
| 1841841723 | Danielle N Gutierrez | Counselor | 1528 Richardson Hwy Apt 3, North Pole, AK 99705-5967 | 2019-09-23 |
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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.