Pamela Shepherd, LCSW, CDCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3600 San Jeronimo Dr
Anchorage, AK 99508-2870

Phone

(907) 793-3641

Fax

(907) 793-3250

NPI assigned

Jan 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian Health AssociatesGroup PAC ID 7517950686, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/citci/r4/

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.

• Christian Health Associates

  • Mental Health Counselor
  • Anchorage, AK
  • NPI 1891911673
  Medicare reassignment Care Compare group NPD
• Christian Health Associates

  • Addiction (Substance Use Disorder) Counselor
  • Anchorage, AK
  • NPI 1114571635
  NPD
• Cook Inlet Tribal Council, Inc

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1952101362
  NPD
• Christian Health Associates

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1952483679
  NPD (past)
• Cook Inlet Tribal Council, Inc

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1437273000

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1356613988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SAN JERONIMO DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082870",
            "telephone_number": "907-793-3641",
            "fax_number": "907-793-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SAN JERONIMO DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082870",
            "telephone_number": "907-793-3641",
            "fax_number": "907-793-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "PAMELA",
        "credential": "LCSW, CDCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Renee Shelton
• Janet Mo Chieh Shen, MD PHD
• Mikal Shennaike
• Betty Jo Shepherd-Hebb
• Loretta Shepherd, LMT
• Shepherd'S Home Care
• Trina Ann Sheppard
• Tyler Sherban, MD
• Bradley Sherman, BHT II
• Sarah Sherman, OT

• Mental Health Counselor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.