Kevin Matthew Enloe, LCSW SAP CDCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

210458 Issued in AK

Practice address

4367 Taku Blvd
Juneau, AK 99801-9289

Phone

(907) 418-2287

Fax

(907) 418-2275

NPI assigned

Mar 10, 2017

Last updated

Dec 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK, OR2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ah Addiction Care PCGroup PAC ID 2668916214, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ah Addiction Care PC

  dba Anonymous Health

  • Addiction Medicine (Family Medicine) Physician
  • Redwood City, CA
  • NPI 1295516128

  AK, Mental Health, OR

  Medicare reassignment Care Compare group NPD
• Ah Addiction Care of California PC

  dba Anonymous Health

  • Addiction Medicine (Family Medicine) Physician
  • Sacramento, CA
  • NPI 1144055302

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1841731858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4367 TAKU BLVD",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019289",
            "telephone_number": "907-418-2287",
            "fax_number": "907-418-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 TAKU BLVD",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019289",
            "telephone_number": "907-418-2287",
            "fax_number": "907-418-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENLOE",
        "first_name": "KEVIN",
        "middle_name": "MATTHEW",
        "credential": "LCSW SAP CDCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "210458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Eckenstein
• John Richard Ellenbecker Jr., D.D.S.
• Kaylene D Elliott, RN
• Jeanette Rae Ely, RDN
• Amanda Empson
• Kathy Ensor
• Cameron Bjorn Erickson, RN
• Jared Lee Erickson, DMD
• Julia Erickson
• Kelly Kathleen Erickson, PA-C

• Mental Health Counselor in Juneau, AK
• Providers in Juneau, 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 Dec 9, 2025; 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.