Active NPI
Shakeria Lashawnda Smith, LMT
- Mental Health Counselor
- Chugiak, AK
National Provider Identifier
1043909344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 30881 Eklutna Lake Rd
Chugiak, AK 99567-5166 - Phone
- (907) 688-1750
- NPI assigned
- May 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 209392 | AK | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
30881 Eklutna Lake Rd
Chugiak, AK 99567-5166
Mailing address
3600 San Jeronimo Dr
Anchorage, AK 99508-2870
Phone (907) 793-3600
Other practice location 1
2606 Spenard Rd
Anchorage, AK 99503-2309
Phone (907) 279-7669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209392 | AK | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Inlet Tribal Council, Inc | Current | Accepting new patients | |
| Massage Now | Massage Therapist | Past | Accepting new patients |
| Cook Inlet Tribal Council, Inc | Mental Health | Past | Accepting new patients |
Locations
3600 San Jeronimo Dr
Anchorage, AK 99508
Phone (907) 793-3200
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/citci/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1952101362
-
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1437273000
Mental Health
-
- Massage Therapist
- Anchorage, AK
- NPI 1174974257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1043909344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 SAN JERONIMO DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082870",
"telephone_number": "907-793-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30881 EKLUTNA LAKE RD",
"city": "CHUGIAK",
"state": "AK",
"postal_code": "995675166",
"telephone_number": "907-688-1750"
}
],
"practiceLocations": [
{
"address_1": "2606 Spenard Rd",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995032309",
"country_code": "US",
"telephone_number": "907-279-7669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "SHAKERIA",
"middle_name": "LASHAWNDA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2025-01-07",
"certification_date": "2024-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AK",
"license": "209392",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chugiak, AK
- Jennie Schroll, LCSW
- Matthew Schuette
- Dennis Patrick Serie, PA
- Courtney Shaeffer, OTR/L, IBCLC
- Zulene O. Simmons, ANP
- Natalie Snyder, DPT
- Southcentral Foundation (Eklutna BH)
- Southcentral Foundation (Dental- Eklutna Dental Clinic)
- Southcentral Foundation (Tribal- Eklutna Community Clinic)
- Mariah Spear, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.