Kenneth Brewington, LPC
Individual provider Active NPI Professional Counselor · Anchorage, AK
NPI 1194465930 · NPPES record last updated Mar 30, 2022
Key facts
- NPI
- 1194465930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 128431 (AK)
- Practice address
- 1450 Muldoon Rd Ste 111
Anchorage, AK 99504-2873 - Phone
- (907) 762-8668
- NPI assigned
- Mar 30, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240520002950 | TX | Practitioner - Mental Health Counselor | 2466894696 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128431 | AK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Solutions of Alaska | Current | Accepting new patients | |
| Aleutian Pribilof Islands Association Inc | Current |
Accepting new patients | |
| Aleutian Pribilof Islands Assoc Inc | Current |
Accepting new patients | |
| The Talking Place Child & Adolescent Counseling LLC | Professional | Past | Accepting new patients |
Locations
1131 E Intl Airport Rd
Anchorage, AK 99518
Phone (907) 276-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 128431 | AK | Yes |
Addresses
Primary practice location
1450 Muldoon Rd Ste 111
Anchorage, AK 99504-2873
Mailing address
1450 Muldoon Rd Ste 111
Anchorage, AK 99504-2873
Phone (907) 762-8668
Other providers in Anchorage, AK
- Brittany M Bretz
- Jodie Brewer
- Kelly Brewer
- Thomas Brewer
- Bambi Renae Brewington
- Wesley Frank Brewington
- Patricia Leeann Brewster
- Jared J Breyer Sr.
- Brian D Cin Optometrist LLC
- Brian E Coe Diabetic Vision Foundation Inc
All providers in Anchorage, AK · Professional 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 Mar 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.