Individual provider Active NPI

Jennifer Dawn Kell, LAAC-15555

  • Addiction (Substance Use Disorder) Counselor
  • Sitka, AK
National Provider Identifier
1184438152
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15555 Issued in AZ
Practice address
Sitka Counseling and Prevention
113 Metlakatla St
Sitka, AK 99835
Phone
(907) 747-3636
Fax
(907) 747-2702
NPI assigned
Feb 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15555 AZ Primary

Addresses

Primary practice location

Sitka Counseling and Prevention
113 Metlakatla St
Sitka, AK 99835

Mailing address

Sitka Counseling and Prevention
113 Metlakatla St
Sitka, AK 99835
Phone (907) 747-3636

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

LicenseStateTypeSpecialty
15555AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sitka Counseling & Prevention Services, Inc. CurrentSince Jun 29, 2025 Accepting new patients
Sitka Counseling & Prevention Services, Inc. CurrentSince Jun 29, 2025 Accepting new patients

Locations

113 Metlakatla St
Sitka, AK 99835
Phone (907) 747-1417

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1184438152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SITKA COUNSELING AND PREVENTION",
            "address_2": "113 METLAKATLA ST",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "99835",
            "telephone_number": "907-747-3636",
            "fax_number": "907-747-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SITKA COUNSELING AND PREVENTION",
            "address_2": "113 METLAKATLA ST",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "99835",
            "telephone_number": "907-747-3636",
            "fax_number": "907-747-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELL",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "LAAC-15555",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-06-23",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "15555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sitka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.