PHILLIP R LAZENBY (NPI# 1912565540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912565540 |
| Entity Type | Individual |
| Full Name | PHILLIP R LAZENBY |
| Practice Address |
245 N Binkley St Soldotna AK 99669-7500 |
| Mailing Address |
Po Box 2127 Soldotna AK 99669-2127 |
| Practice Telephone | 9077144521 |
| Practice Fax Number | 9072604063 |
| Mailing Telephone | 9073981161 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 132467 | AK | Behavioral Health & Social Service Providers |
| Street Address |
245 N BINKLEY ST |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093787988 | Alexander Brevard Russell, Jr | Pediatrics | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7500 | 2006-02-03 |
| 1699333229 | Patricia Mills Merwin | Social Worker | 245 N Binkley St, Soldotna, AK 99669-7500 | 2019-05-29 |
| 1811389125 | Rebecca Jean Schultz | Physician Assistant | 245 N Binkley St, Suite 103, Soldotna, AK 99669-7500 | 2015-02-23 |
| 1063833937 | Upstream Family Medicine Inc | Family Medicine | 245 N Binkley St, Ste 103, Soldotna, AK 99669-7523 | 2013-12-19 |
| 1831404805 | Central Peninsula General Hospital | General Acute Care Hospital | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7523 | 2010-08-13 |
| 1295059921 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7523 | 2010-03-24 |
| 1215058177 | Allison Joy Smith | Family Medicine | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7500 | 2007-04-02 |
| 1548299274 | Rachel V Walden | Pediatrics | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7500 | 2006-07-03 |
| 1710946702 | Gonzalo Araoz Fraser | Family Medicine | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7523 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| 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 |
|---|---|---|---|---|
| 1972126613 | Barlow Therapy | Counselor | 34848 Laura Ln, Soldotna, AK 99669-8827 | 2020-05-28 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1336555887 | Heather D Morning | Counselor | 224 Kenai Ave, Suite 103, Soldotna, AK 99669-7647 | 2014-07-04 |
| 1720170327 | John Richard Myers | Counselor | 42938 Kendanemken Ct, Soldotna, AK 99669-2086 | 2006-09-29 |
| 1255993200 | Ashley Christine Wiedermann | Counselor | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2019-06-30 |
| 1841858693 | Maghan Kruzick | Counselor | 245 N Binkley St Ste 202, Soldotna, AK 99669-7500 | 2019-06-05 |
| 1023547882 | Molly Gretchen Davis | Counselor | 198 W Marydale Ave, Soldotna, AK 99669-7501 | 2017-06-06 |
| 1629504634 | Kenai River Counseling | Counselor | 44539 Sterling Hwy, #213, Soldotna, AK 99669-7920 | 2017-05-11 |
| 1699985903 | Chandler E Stevenson | Counselor | 230 E Marydale Ave, Suite 2, Soldotna, AK 99669-7648 | 2007-05-23 |
| 1740376169 | Kimberly J. Lindley | Counselor | 230 E Marydale Ave, Suite 2, Soldotna, AK 99669-7648 | 2006-10-04 |
| Find all providers in SOLDOTNA | ||||
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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.