Alicia Louise Stettler, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

10167184-3502 Issued in UT

Practice address

1300 N Holopono St Ste 108&213
Kihei, HI 96753-6945

Phone

(808) 206-9371

Fax

(855) 270-7441

NPI assigned

Nov 30, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Alicia Louise Hull Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southeast Alaska Regional Health ConsortiumGroup PAC ID 1456265362, 373 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southeast Alaska Regional Health Consortium

  dba Thorne Bay Health Clinic

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment Care Compare group NPD
• Southeast Alaska Regional Health Consortium

  dba SEARHC Specialty Care Clinic- Salmon Creek

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD
• Southeast Alaska Regional Health Consortium

  dba SEARHC Mt. Edgecumbe Medical Center

  • Critical Access Hospital
  • Sitka, AK
  • NPI 1720062524
  NPD
• Quality Youth Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harrisville, UT
  • NPI 1023335890
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1124561774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N HOLOPONO ST STE 108&213",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536945",
            "telephone_number": "808-206-9371",
            "fax_number": "855-270-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N HOLOPONO ST STE 108&213",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536945",
            "telephone_number": "808-206-9371",
            "fax_number": "855-270-7441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 N Hwy 89",
            "address_2": "STE C",
            "address_purpose": "LOCATION",
            "city": "Harrisville",
            "state": "UT",
            "postal_code": "844042675",
            "country_code": "US",
            "telephone_number": "801-393-6232",
            "fax_number": "801-393-4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STETTLER",
        "first_name": "ALICIA",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "10167184-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "HULL",
            "middle_name": "LOUISE",
            "credential": "CSW/LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne Stahl
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• Joshua Charles Starbuck, MD
• Emily Marie Steenbergh
• Samantha Dawn Stella, DPT, CLT
• Lisa Stilwell, LICSW, LCSW
• Brian A Stolley, MD
• Amy Jo Strawbridge
• Austin Stringfellow, RBT
• Janella Mae Suzuki, RBT

• Counselor in Kihei, HI
• Providers in Kihei, HI by specialty
• Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.