ANTHONY GASTELUM (NPI# 1497125637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497125637 |
| Entity Type | Individual |
| Full Name | ANTHONY GASTELUM |
| Practice Address |
101 Totem St. Kake Clinic Kake AK 99830 |
| Mailing Address |
Po Box 589 Kake AK 99830-0589 |
| Practice Telephone | 9077856515 |
| Practice Fax Number | 9077853350 |
| Mailing Telephone | 9077856515 |
| Mailing Fax Number | 9077853350 |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 101YA0400X | AK | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
101 TOTEM ST. KAKE CLINIC |
| City | KAKE |
| State | AK |
| Zip Code | 99830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730446188 | Kimberly Ann Moler | Community Health Worker | 101 Totem Way, Kake, AK 99830 | 2012-04-23 |
| 1114973849 | South East Alaska Regional Health Consortium | Clinic/Center | 105 Totem Way, Kake, AK 99830 | 2006-05-25 |
| 1972134864 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 105 Totem Way, Kake, AK 99830 | 2020-01-29 |
| 1265658231 | City of Kake | Ambulance | 26 Church Street, Kake, AK 99830 | 2007-04-18 |
| 1225156136 | Catholic Community Service | Case Management | 177 3rd Ave, Kake, AK 99830-0251 | 2007-03-27 |
| 1558918631 | Antonio Lee Abbott | Behavior Technician | 105 Totem Way, Kake, AK 99830-0605 | 2019-08-22 |
| 1780954214 | Donna L Millan | Nurse Practitioner | 105 Totem Way, Kake, AK 99830-0605 | 2011-12-30 |
| 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 |
|---|---|---|---|---|
| 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.