Individual provider Active NPI

Shannon April Maika

  • Addiction (Substance Use Disorder) Counselor
  • Juneau, AK
National Provider Identifier
1609586106
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
5597 Aisek St
Juneau, AK 99801-9522
Phone
(907) 780-3048
NPI assigned
Nov 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

5597 Aisek St
Juneau, AK 99801-9522

Mailing address

5597 Aisek St
Juneau, AK 99801-9522

Other practice location 1

1613 Anka Street
Juneau, AK 99801
Phone (907) 780-3048

Other practice location 2

5594 Aisek Street
Juneau, AK 99801-9980
Phone (907) 780-3048

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

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1609586106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5597 AISEK ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5597 AISEK ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019522",
            "telephone_number": "907-780-3048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1613 Anka Street",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "99801",
            "country_code": "US",
            "telephone_number": "907-780-3048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5594 Aisek Street",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998019980",
            "country_code": "US",
            "telephone_number": "907-780-3048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIKA",
        "first_name": "SHANNON",
        "middle_name": "APRIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.