CITY OF KETCHIKAN-GATEWAY CENTER FOR HUMAN SERVICES (NPI# 1467445296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467445296 |
| Entity Type | Organization |
| Organization Name | CITY OF KETCHIKAN-GATEWAY CENTER FOR HUMAN SERVICES |
| Practice Address |
3050 5th Ave Ketchikan AK 99901-5773 |
| Practice Telephone | 9072254135 |
| Practice Fax Number | 9072474135 |
| Mailing Telephone | 9072254135 |
| Mailing Fax Number | 9072474135 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KARL AMYLON (CITY MANAGER) |
| Authorized Official Telephone | 9072253111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | AK | Behavioral Health & Social Service Providers | |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
AK | Behavioral Health & Social Service Providers | |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AK | Behavioral Health & Social Service Providers | |
| X | 101YP2500X |
Counselor Specialization: Professional |
AK | Behavioral Health & Social Service Providers | |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
AK | Behavioral Health & Social Service Providers | |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
AK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | DA7113 | 05 | |
| AK | MH0133 | 05 | |
| AK | DA4438 | 05 |
| Street Address |
3050 5TH AVE |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972727725 | Kathryn Lois Carssow | Counselor | 3050 5th Ave, Ketchikan, AK 99901-5773 | 2007-04-12 |
| 1730215567 | William C. Cool II | Counselor | 3050 5th Ave, Ketchikan, AK 99901-5773 | 2007-02-26 |
| 1235265729 | Ruth A Spinner | Counselor | 3050 5th Ave, Ketchikan, AK 99901-5773 | 2007-02-26 |
| 1013063965 | Debra K Arthur-wilkinson | Psychologist | 3050 5th Ave, Ketchikan, AK 99901-5773 | 2007-01-25 |
| 1679644322 | Donna Jean Scarborough | Social Worker | 3050 5th Ave, Ketchikan, AK 99901-5773 | 2006-11-13 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679609911 | Robert Dennis Sullivan | Counselor | 102 Carlanna Lake Road, Ketchikan, AK 99901 | 2007-02-23 |
| 1346483575 | Isobelle Sharon Coe | Counselor | 2960 Tongass Ave, Behavioral Health - First Floor, Ketchikan, AK 99901 | 2009-04-17 |
| 1104067974 | Tanya Ivanivna Hallgren | Counselor | 2960 Tongass Avenue, First Floor Ketchikan Indian Community Tribal Health Cl, Ketchikan, AK 99901 | 2009-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345104 | Patricia Jean Pretorius | Counselor | 102 Elderberry Street, Old Harbor, AK 99643 | 2020-10-30 |
| 1265039606 | Joshua Lund | Counselor | 112 Federal Way # 1667, Wrangell, AK 99929-9800 | 2020-10-08 |
| 1013529247 | Faith Marie Peters | Counselor | Solar Circle #2, Tanana, AK 99777 | 2020-08-19 |
| 1790395218 | Julia Rodriguez | Counselor | 1410 Calista Drve, Bethel, AK 99559-0528 | 2020-08-10 |
| 1003426776 | Cynthia Rose Agnes | Counselor | 41 Sis St, Nulato, AK 99765-0056 | 2020-08-06 |
| 1780294934 | Charmaine Shay Isaac | Counselor | Tetlin Health Clinic, Tetlin, AK 99780 | 2020-08-03 |
| 1972126613 | Barlow Therapy | Counselor | 34848 Laura Ln, Soldotna, AK 99669-8827 | 2020-05-28 |
| 1700409471 | Evangeline Tofa Lemaota | Counselor | 4960 Est. 43rd, B3, Anchorage, AK 99508-9950 | 2020-05-28 |
| 1154950350 | Stephen Jay Foreman | Counselor | 1944 E Rezanof Dr, Kodiak, AK 99615-6601 | 2020-04-08 |
| 1316574015 | Hilary Young | Counselor | 11909 Glacier Hwy Apt 305, Juneau, AK 99801-8790 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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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.