JESSICA BREANNE LUTTON (NPI# 1790315893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790315893 |
| Entity Type | Individual |
| Full Name | JESSICA BREANNE LUTTON |
| Credential | CDC2 |
| Practice Address |
201 Deermount St Ketchikan AK 99901-6649 |
| Mailing Address |
2960 Tongass Ave Ketchikan AK 99901-5742 |
| Practice Telephone | 9072289203 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AK | Behavioral Health & Social Service Providers |
| Street Address |
201 DEERMOUNT ST |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-6649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194848184 | Lisa C Noland | Case Manager/Care Coordinator | 201 Deermount St, Ketchikan, AK 99901-6649 | 2007-04-06 |
| 1659901767 | Debra Kinerk | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1194355206 | Chris Mark Glanzer | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1669002770 | Darryl Anthony Simons | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1184254286 | Anthonny Ramiero Chulik | Behavior Technician | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1447880547 | Christine Marie Furey | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1831744069 | Ruth Anne Bullock | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2019-08-05 |
| 1295213148 | Renee Danielle Murray | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2018-08-02 |
| 1407191760 | Dawn Rebecca Frizzell | Case Manager/Care Coordinator | 201 Deermount St, Ketchikan, AK 99901-6649 | 2012-11-27 |
| 1144582602 | Sarah Lynn Brassard | Case Manager/Care Coordinator | 201 Deermount St, Ketchikan, AK 99901-6649 | 2012-06-11 |
| Find all providers in the same location | ||||
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234419 | Amanda Paulette Gannon | Counselor | 201 Deermount St Fl 2, Ketchikan, AK 99901-6649 | 2020-10-27 |
| 1962020909 | Kenneth Hook | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2020-07-07 |
| 1235757287 | Estelle Cowie | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2020-07-07 |
| 1144848193 | Lance Ho | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2020-07-07 |
| 1659901767 | Debra Kinerk | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1669002770 | Darryl Anthony Simons | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1447880547 | Christine Marie Furey | Counselor | 201 Deermount St, Ketchikan, AK 99901-6649 | 2020-01-17 |
| 1306480611 | Laura Davidson | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2019-10-30 |
| 1851945422 | Melissa Fackler | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2019-07-31 |
| 1841844412 | Lonna Gabbard | 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.