Shirley Ketah · Addiction (Substance Use Disorder) Counselor

121 W Fireweed Ln, Anchorage, AK 99503-2053

Overview

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).

Provider Information

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

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N101Y00000XCounselorNH
Y101YA0400XCounselorAddiction (Substance Use Disorder)4099AK

Taxonomy Information

Primary Taxonomy

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...

Other Taxonomy

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.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Lia Goodloe 123 Alta Mesa Dr, Vista, CA 92084-5318Addiction (Substance Use Disorder) Counselor2024-12-07
Amy Huffman 1033 Devlac Grv, Bowling Green, OH 43402-4501Addiction (Substance Use Disorder) Counselor2024-12-06
Khiana Marie Hume 1941 S 42nd St Ste 210, Omaha, NE 68105-2946Addiction (Substance Use Disorder) Counselor2024-12-06
Antoinette Burrison 302 Railway Ave, Seward, AK 99664-0999Addiction (Substance Use Disorder) Counselor2024-12-07
Wilder Wellness PLLC 5700 Balcones Dr Ste 100, Austin, TX 78731-4204Addiction (Substance Use Disorder) Counselor2024-12-07
Jenna Donatelli 1313 Cutting Blvd, Richmond, CA 94804-2554Addiction (Substance Use Disorder) Counselor2024-12-06
Hayley Payne · Hayley Tucker 4083 Cloud Springs Rd, Ringgold, GA 30736-8411Addiction (Substance Use Disorder) Counselor2024-12-06
Barbara Johnson · Barbara Kreitner 515 28 3/4 Rd Bldg A, Grand Junction, CO 81501-5016Addiction (Substance Use Disorder) Counselor2024-12-06
Edgar Sancen 3002 Grand Ave, Waukegan, IL 60085-2321Addiction (Substance Use Disorder) Counselor2024-12-07
Christina Thompson 1812 Newport Gap Pike, Wilmington, DE 19808-6179Addiction (Substance Use Disorder) Counselor2024-12-06
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Location Information

Street Address 121 W FIREWEED LN
City ANCHORAGE
State AK
Zip Code 99503-2053
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Robert Gerald Finke 121 W Fireweed Ln Ste 105, Anchorage, AK 99503-2044Addiction (Substance Use Disorder) Counselor2007-06-13
Jaimie M Lyke 121 W Fireweed Ln, Suite 280, Anchorage, AK 99503-2053Dentist2009-09-07
Vicki Ann Nisonger-Maack 121 W Fireweed Ln Ste 105, Anchorage, AK 99503-2044Addiction (Substance Use Disorder) Counselor2018-02-02
Regan M Rodig 121 W Fireweed Ln, Anchorage, AK 99503-2053Massage Therapist2018-01-16
Leslie Whitehead 121 W Fireweed Ln Ste 105, Anchorage, AK 99503-2044Addiction (Substance Use Disorder) Counselor2019-04-22
Nicholas Morley 121 W Fireweed Ln Ste 105, Anchorage, AK 99503-2044Licensed Practical Nurse2019-09-10
Bernice Clair Jones 121 W Fireweed Ln, Suite 105, Anchorage, AK 99503-2003Case Manager/Care Coordinator2007-05-18
Daybreak Incorporated 121 W Fireweed Ln Ste 175, Anchorage, AK 99503-2035Case Management Agency2019-11-20
Sumreay Joseph 121 W Fireweed Ln Ste 105, Anchorage, AK 99503-2044Licensed Vocational Nurse2018-03-23
Rowena Mandanas, Dds, Inc 121 W Fireweed Ln, Ste 200, Anchorage, AK 99503-2053Dentist2012-11-16
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Rukiyia Smith 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503Behavior Technician2019-04-25
Mary Kathleen Tate 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503Behavior Technician2019-04-24
Pediatric Gastroenterology Inc · Pediatric Gastroenterology of Alaska 4500 Business Park Blvd, Suite C-10, Anchorage, AK 99503Pediatric Gastroenterology Physician2017-03-10
Kimberly Sue Trent 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503Registered Nurse2018-11-27
Chanda Pursley 1350 W. Northern Lights Blvd Ste C, Anchorage, AK 99503Massage Therapist2021-06-18
Rosanne Louise Klouda 213 Fireweed Ln, Anchorage, AK 99503Massage Therapist2017-11-30
Emily Paige Rascoe 200 W 34th Ave, 244, Anchorage, AK 99503Behavioral Analyst2023-01-13
Sophia Fast 1350 W. Northern Lights, Ste C, Anchorage, AK 99503Massage Therapist2021-02-24
Online Care Group Alaska 200 W. 34th Ave, Anchorage, AK 99503General Practice Physician2017-11-09
Kit Ayers Alaska Massage Clinic 1350 W Northern Lights Blvd, Suite C, Anchorage, AK 99503Massage Therapist2023-06-16
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Dataset Information

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

Dataset Details

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.