Trina Lee Williamson, LPC
Individual provider Active NPI Mental Health Counselor · Klawock, AK
NPI 1386901833 · NPPES record last updated Nov 15, 2024
Key facts
- NPI
- 1386901833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 153236 (AK)
- Practice address
- 7300 Klawock Hollis Hwy
Klawock, AK 99925 - Phone
- (907) 523-4386
- Fax
- (907) 523-4390
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southeast Alaska Regional Health Consortium
Practice addresses (Care Compare)
7300 Klawock Hollis Hwy
Klawock, AK 99925-7891
Phone (907) 755-4800
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240130000388 | TX | Practitioner - Mental Health Counselor | 3779936455 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13470 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Health Consortium | Current |
Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current |
Accepting new patients | |
| Searhc | Past |
Accepting new patients |
Locations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 13470 | NC | |
| Mental Health Counselor | 101YM0800X | 153236 | AK | Yes |
Addresses
Primary practice location
7300 Klawock Hollis Hwy
Klawock, AK 99925
Mailing address
PO Box 69
Klawock, AK 99925-0069
Phone (828) 631-3973
Other names
- Trina Lee Andreasen
Other providers in Klawock, AK
- Sean Fred Tomkinson
- Shalynn Tomkinson
- Carrie Urena
- Daniella M Vasquez
- Daniel Cline Weaver
- Michael A Witsil
- Kimberly Ann Wojtak
- Nathan Yockey
All providers in Klawock, AK · Mental Health 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 Nov 15, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.