Kennith E McCarty

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

237 Issued in AK

Legal business name

KENNITH E MCCARTY

Doing business as

Ken McCarty, LMFT Discovery Cove Recovery & Wellness Center

Practice address

2975 Mill Bay Rd.
Suite B
Kodiak, AK 99615-9961

Phone

(907) 487-2223

Fax

(907) 487-2229

NPI assigned

Aug 20, 2010

Last updated

Aug 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ken E McCarty, LMFT

Title

Executive Director

Phone

(907) 487-2223

Specialties & licenses 1

Addresses

Other names 1

• Ken McCarty, LMFT Discovery Cove Recovery & Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1669788212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 SIMEONOFF STREET",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996159961",
            "telephone_number": "907-487-2223",
            "fax_number": "907-487-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 MILL BAY RD.",
            "address_2": "SUITE B",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996159961",
            "telephone_number": "907-487-2223",
            "fax_number": "907-487-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNITH E MCCARTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-487-2223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AK",
            "license": "237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ken McCarty, LMFT Discovery Cove Recovery & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Marriage & Family Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.