Kayla Bekkerus

Individual provider Active NPI Mental Health Counselor · Ketchikan, AK

NPI 1285316612 · NPPES record last updated Dec 12, 2025

Key facts

NPI
1285316612
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
3050 Fifth Ave
Ketchikan, AK 99901-5773
Phone
(907) 225-4135
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
University of Minnesota, Duluth School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Alaska Regional Health Consortium (373 clinicians)

Practice addresses (Care Compare)

3051 Vintage Blvd
200 Searhc Behav HLTH
Juneau, AK 99801-2807
Phone (907) 364-4445

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260126000015 TX Practitioner - Clinical Social Worker 3678050200 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium Current
since Jan 1, 2026
Accepting new patients
Southeast Alaska Regional Health Consortium Current
since Jan 1, 2026
Accepting new patients

Locations

3051 Vintage Blvd
Juneau, AK 99801
Phone (907) 463-0100

3051 Vintage Blvd
#200
Juneau, AK 99801

3051 Vintage Blvd
Ste 200
Juneau, AK 99801
Phone (907) 364-4445

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

3050 Fifth Ave
Ketchikan, AK 99901-5773

Mailing address

3051 Vintage BVLD
Juneau, AK 99801
Phone (907) 463-0160

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 12, 2025.

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1285316612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 VINTAGE BVLD",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-463-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 FIFTH AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015773",
            "telephone_number": "907-225-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKKERUS",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

All providers in Ketchikan, AK · Mental Health Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.