Brooke Ann Avila
Individual provider Active NPI Mental Health Counselor · Ketchikan, AK
NPI 1164026977 · NPPES record last updated Nov 23, 2020
Key facts
- NPI
- 1164026977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2524 First Ave
Ketchikan, AK 99901-5804 - Phone
- (907) 617-6145
- Fax
- (907) 885-6613
- NPI assigned
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Youth & Community (Ryc) | Current |
Accepting new patients | |
| Resilient Youth & Community (Ryc) | Current |
Accepting new patients |
Locations
2524 First Ave
Ketchikan, AK 99901
Phone (907) 202-8752
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/rycalaska/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AK | Yes |
Addresses
Primary practice location
2524 First Ave
Ketchikan, AK 99901-5804
Mailing address
PO Box 7475
Ketchikan, AK 99901-2475
Phone (907) 617-6145
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1584706 | Medicaid | AK | |
| 1021118 | Medicaid | AK |
Other names
- Ms. Brooke Ann Nanez
Other providers in Ketchikan, AK
- Jill-Nicole Armstrong
- Candice Arrington
- Sharon Rose Astry
- Aurora Care
- Ashley Avila
- Blake Bachant
- Balance and Nourish, LLC
- Christina Baldwin
- Gerry Balluta
- Danica Natasha Barron-Dhillon
All providers in Ketchikan, AK · Mental Health Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.