Individual provider Active NPI

Angela L Butler

  • Mental Health Counselor
  • Sitka, AK
National Provider Identifier
1558026005
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
Sitka Counseling and Prevention
113 Metlakatla St
Sitka, AK 99835
Phone
(907) 747-3636
Fax
(907) 747-2702
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

Sitka Counseling and Prevention
113 Metlakatla St
Sitka, AK 99835

Mailing address

Sitka Counseling and Prevention
113 Metlakatla St
Sitka, AK 99835
Phone (907) 747-3636

Other names 1

  • Angela Kluenker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sitka Counseling & Prevention Services, Inc. Counselor CurrentSince Aug 13, 2023 Accepting new patients
Sitka Counseling & Prevention Services, Inc. CurrentSince Aug 13, 2023 Accepting new patients

Locations

113 Metlakatla St
Sitka, AK 99835
Phone (907) 747-1417

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1558026005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SITKA COUNSELING AND PREVENTION",
            "address_2": "113 METLAKATLA ST",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "99835",
            "telephone_number": "907-747-3636",
            "fax_number": "907-747-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SITKA COUNSELING AND PREVENTION",
            "address_2": "113 METLAKATLA ST",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "99835",
            "telephone_number": "907-747-3636",
            "fax_number": "907-747-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ANGELA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2023-08-11",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "KLUENKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sitka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.