MS. CECILIE DAWN CODY (NPI# 1407066749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407066749 |
| Entity Type | Individual |
| Full Name | MS. CECILIE DAWN CODY |
| Credential | MAAT, LPC |
| Practice Address |
2524 1st Avenue Ketchikan AK 99901 |
| Mailing Address |
Po Box 7475 Ketchikan AK 99901 |
| Practice Telephone | 9072028741 |
| Practice Fax Number | 9072028741 |
| Mailing Telephone | 9072254664 |
| Mailing Fax Number | 9078856613 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PCOP584 | AK | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0101611 | NM | Behavioral Health & Social Service Providers |
| Street Address |
2524 1ST AVENUE |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465317 | David Garcia | Counselor | 2524 1st Avenue, Ketchikan, AK 99901 | 2020-04-02 |
| 1306473814 | John David Sundeen | Counselor | 2524 1st Avenue, Ketchikan, AK 99901 | 2020-03-25 |
| 1336771781 | Residential Youth Care, Inc. | Community/Behavioral Health | 2524 1st Avenue, Ketchikan, AK 99901 | 2020-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558880179 | Samantha Funk | Counselor | 2514 First Ave, Ketchikan, AK 99901-5804 | 2017-09-14 |
| 1710264148 | Caitlin L Andrews | Counselor | 1383 Deer Mountain Ct, Ketchikan, AK 99901-6707 | 2011-11-14 |
| 1154559102 | Kevin Murphy | Counselor | 2324 6th Ave, Ketchikan, AK 99901-5963 | 2009-06-29 |
| 1780729574 | Ann Doczi | Counselor | 201 Deermount Street, Ketchikan, AK 99901 | 2007-02-20 |
| 1205465317 | David Garcia | Counselor | 2524 1st Avenue, Ketchikan, AK 99901 | 2020-04-02 |
| 1306473814 | John David Sundeen | Counselor | 2524 1st Avenue, Ketchikan, AK 99901 | 2020-03-25 |
| 1194355206 | Chris Mark Glanzer | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1831739390 | Jaime Browning | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2020-01-13 |
| 1689218992 | Bobbi Jo Keuken | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2019-10-30 |
| 1265086839 | Cassandra Martinez | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2019-07-31 |
| Find all providers in KETCHIKAN | ||||
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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.