Shirley Ketah is a Addiction (Substance Use Disorder) Counselor practicing in Anchorage, Alaska. The National Provider Identifier (NPI) is #1033617444, which was assigned on January 31, 2018, and the registration record was last updated on January 31, 2018. The practitioner's main practice location is at 121 W Fireweed Ln, Anchorage, AK 99503-2053; the contact telephone number is 9078659653. The primary taxonomy of Shirley Ketah is Addiction (Substance Use Disorder) Counselor (101YA0400X), with specialization in Addiction (Substance Use Disorder). Shirley Ketah is licensed to practice in the state of New Hampshire, Alaska (#4099).
NPI | 1033617444 |
Entity Type | Individual |
Provider Name | MS. SHIRLEY KETAH |
Gender | Female |
Credential | MS, CDC1 |
Practice Address |
121 W Fireweed Ln Anchorage AK 99503-2053 |
Practice Telephone | 9078659653 |
Mailing Address |
11408 Heritage Ct Apt 7 Eagle River AK 99577-7778 |
Mailing Telephone | 9078546997 |
Enumeration Date | 2018-01-31 |
Last Update Date | 2018-01-31 |
Is Sole Proprietor | N |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
N | 101Y00000X | Counselor | NH | |||
Y | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | 4099 | AK |
Code | 101YA0400X |
Taxonomy | Addiction (Substance Use Disorder) Counselor |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Grouping | Behavioral Health & Social Service Providers |
Definition: Definition to come... |
Code | 101Y00000X |
Taxonomy | Counselor |
Classification | Counselor |
Grouping | Behavioral Health & Social Service Providers |
Definition: 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. |
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Street Address |
121 W FIREWEED LN |
City | ANCHORAGE |
State | AK |
Zip Code | 99503-2053 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Robert Gerald Finke | 121 W Fireweed Ln Ste 105, Anchorage, AK 99503-2044 | Addiction (Substance Use Disorder) Counselor | 2007-06-13 |
Jaimie M Lyke | 121 W Fireweed Ln, Suite 280, Anchorage, AK 99503-2053 | Dentist | 2009-09-07 |
Vicki Ann Nisonger-Maack | 121 W Fireweed Ln Ste 105, Anchorage, AK 99503-2044 | Addiction (Substance Use Disorder) Counselor | 2018-02-02 |
Regan M Rodig | 121 W Fireweed Ln, Anchorage, AK 99503-2053 | Massage Therapist | 2018-01-16 |
Leslie Whitehead | 121 W Fireweed Ln Ste 105, Anchorage, AK 99503-2044 | Addiction (Substance Use Disorder) Counselor | 2019-04-22 |
Nicholas Morley | 121 W Fireweed Ln Ste 105, Anchorage, AK 99503-2044 | Licensed Practical Nurse | 2019-09-10 |
Bernice Clair Jones | 121 W Fireweed Ln, Suite 105, Anchorage, AK 99503-2003 | Case Manager/Care Coordinator | 2007-05-18 |
Daybreak Incorporated | 121 W Fireweed Ln Ste 175, Anchorage, AK 99503-2035 | Case Management Agency | 2019-11-20 |
Sumreay Joseph | 121 W Fireweed Ln Ste 105, Anchorage, AK 99503-2044 | Licensed Vocational Nurse | 2018-03-23 |
Rowena Mandanas, Dds, Inc | 121 W Fireweed Ln, Ste 200, Anchorage, AK 99503-2053 | Dentist | 2012-11-16 |
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Rukiyia Smith | 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 | Behavior Technician | 2019-04-25 |
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Kimberly Sue Trent | 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 | Registered Nurse | 2018-11-27 |
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Rosanne Louise Klouda | 213 Fireweed Ln, Anchorage, AK 99503 | Massage Therapist | 2017-11-30 |
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Sophia Fast | 1350 W. Northern Lights, Ste C, Anchorage, AK 99503 | Massage Therapist | 2021-02-24 |
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Shirley Holly Williams · Shirley Tharwat Hamamcy | 12920 W Parmer Ln, Suite 101, Cedar Park, TX 78613 | General Practice Dentistry | 2007-01-11 |
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Shirley Mariah Luark · Shirley Airhart | 1112 First Street, Cosmopolis, WA 98537-0493 | Mental Health Counselor | 2013-04-18 |
Shirley L Story-Nelson · Shirley L Carneygee | 4956 Washington St, Gary, IN 46408-4609 | Clinical Social Worker | 2020-09-24 |
Elizabeth Ketah | 4601 Mayfair Ave, Chattanooga, TN 37411-4730 | Registered Nurse | 2013-11-06 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |