KATHY PEACE (NPI# 1942757422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942757422 |
| Entity Type | Individual |
| Full Name | KATHY PEACE |
| Practice Address |
829 Chief Eddie Hoffman Hwy Suite 150 Bethel AK 99559-0528 |
| Mailing Address |
Po Box 528 Attn: Behavioral Health Bethel AK 99559-0528 |
| Practice Telephone | 9075436100 |
| Practice Fax Number | 9075436159 |
| Mailing Telephone | 9075436100 |
| Mailing Fax Number | 9075436159 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1020986 | 05 |
| Street Address |
829 CHIEF EDDIE HOFFMAN HWY SUITE 150 |
| City | BETHEL |
| State | AK |
| Zip Code | 99559-0528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679542484 | Peter Robert Hergenroether | Counselor | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2006-03-15 |
| 1376142174 | Thomasina Tishina Smith | Community Health Worker | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2020-10-22 |
| 1508478751 | Moses K Ayagalria Jr. | Counselor | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 | 2020-08-19 |
| 1720699044 | Reanna Jimmy | Community Health Worker | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2020-08-11 |
| 1891306387 | David Mochin | Counselor | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 | 2020-08-10 |
| 1396355053 | Lucy Ann Mochin | Counselor | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2020-08-06 |
| 1467074518 | Tawanda Moses | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2020-05-12 |
| 1922635101 | Alice Lucy Leinberger | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hwy, Suite 327, Bethel, AK 99559-0528 | 2020-03-26 |
| 1700413663 | Erica Kameroff | Community Health Worker | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 | 2020-03-23 |
| 1386283356 | D'angela Yvette Nickerson | Counselor | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 | 2019-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
| 1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
| 1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
| 1639730484 | Jerri Linda Moran-gentle | Massage Therapist | 430 A 7th Ave, Bethel, AK 99559 | 2019-06-24 |
| 1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
| 1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
| 1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
| 1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
| 1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
| Find all providers in zip 99559 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283378 | Stars of Love and Light | Social Worker | 125 Greenwood Ave Ph 2nd, Bethel, CT 06801-2586 | 2020-04-11 |
| 1063947893 | Lisa Renner | Social Worker | 11 Natureview Trl, Bethel, CT 06801-1431 | 2017-04-30 |
| 1437371085 | Barbara Modigh | Social Worker | 829 Chief Eddie Hoffman, Bethel, AK 99559 | 2007-05-03 |
| 1043288038 | Elizabeth H Meadows | Social Worker | 146 Paradise Road, Bethel, ME 04217 | 2006-03-08 |
| 1972074649 | Latoya R Gates | Social Worker | 5016 Noel Polty Blvd, Bethel, AK 99559-1029 | 2018-12-06 |
| 1467927475 | Deanna Heckman | Social Worker | 829 Cheif Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559 | 2018-10-05 |
| 1073093860 | Charlotte Gruber | Social Worker | 700 Chief Eddie Hoffman Hwy, Suite A600, Bethel, AK 99559 | 2018-08-21 |
| 1114410073 | Kara Beth Vergo | Social Worker | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559 | 2018-06-14 |
| 1659752848 | Bryan W Parkhurst | Social Worker | 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, WA 99559-0528 | 2015-06-12 |
| 1407279565 | Kim Myomi Adiele | Social Worker | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2014-01-27 |
| Find all providers in BETHEL | ||||
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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.