Karina Licon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2524 First Ave
Ketchikan, AK 99901-5804

Phone

(907) 202-8752

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Resilience Center of Houston LLCGroup PAC ID 6305131517, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/rycalaska/r4/

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.

• The Resilience Center of Houston, LLC

  • Marriage & Family Therapist
  • Cypress, TX
  • NPI 1821475039

  Mental Health

  Medicare reassignment Care Compare group NPD
• Resilient Youth & Community (Ryc)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ketchikan, AK
  • NPI 1306909197
  NPD
• Resilient Youth & Community (Ryc)

  • Community/Behavioral Health Agency
  • Ketchikan, AK
  • NPI 1336771781
  NPD

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1851025456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7475",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999012475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 FIRST AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015804",
            "telephone_number": "907-202-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICON",
        "first_name": "KARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1703638",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1713721",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Lemerond
• Karley Roxanne Lesko
• Harvey Lee Lesser, PA.
• Dainee Blouix Lewis
• Jadyn Lewis
• Diane L Liljegren, MD
• Linsenmayer Dentistry, LLC
• Leslie Amanda Locklear, FNP-C
• Jean Paulin E Lockulu, MSW
• Owen Gunnar Loscar

• Mental Health Counselor in Ketchikan, AK
• Providers in Ketchikan, 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 Sep 1, 2022; 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.