Noah Shields

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

277 Issued in AK

Practice address

161 Farnsworth Blvd
Soldotna, AK 99669-7602

Phone

(907) 252-9082

NPI assigned

Sep 14, 2017

Last updated

Mar 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 12, 2024 through Sep 12, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foundations Family Resource Center

  • Professional Counselor
  • Soldotna, AK
  • NPI 1043538721

  Marriage & Family Therapist

  NPD Authorized official
• Truuli Peak Counseling Inc.

  • Marriage & Family Therapist
  • Kenai, AK
  • NPI 1730779968
  NPD Authorized official

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1275052896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51219 POLARIS WAY",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FARNSWORTH BLVD",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697602",
            "telephone_number": "907-252-9082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43335 Kalifornsky Beach Rd Ste 36",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996698280",
            "country_code": "US",
            "telephone_number": "907-252-9082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "NOAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "798",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AK",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaira A. Shah, LCSW, JD, LPN, C.HT.
• Vanessa Shanahan
• Kyle Arron Shassetz
• Mike Shattler
• Katy Marie Sheridan, M.D.
• Donna Lynn Shirnberg, MA, CCC-SLP
• Ann Shrinberg
• Joleen Marie Shults, FNP
• Michele L Sigler
• Tiffany Marie Awrey Simerson

• Marriage & Family Therapist in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Marriage & Family Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.