Hydaburg City School District

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HYDABURG CITY SCHOOL DISTRICT

Practice address

100 Totem Park Lane
Hydaburg, AK 99922-9992

Phone

(907) 401-3359

Fax

(907) 285-3391

NPI assigned

Mar 27, 2019

Organization subpart

No

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

Authorized official

Name

Mr. George Roy Kirchner Jr., LPC

Title

Counselor

Phone

(907) 590-0931

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Hydaburg City School District Doing business as

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1922569540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109",
            "city": "HYDABURG",
            "state": "AK",
            "postal_code": "999220109",
            "telephone_number": "907-401-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOTEM PARK LANE",
            "city": "HYDABURG",
            "state": "AK",
            "postal_code": "999229992",
            "telephone_number": "907-401-3359",
            "fax_number": "907-285-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDABURG CITY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "KIRCHNER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "907-590-0931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "66",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hydaburg City School District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hessa Alander
• Jamie Bell
• Taryn Rae Bell
• Venessa Brown
• Anna D Frisby, P.A.
• Laura Marie Peele
• Theodore Owen Peele
• Dorinda Sanderson
• Joseph Edward Sanderson, CHA-1
• Elena Snodgrass

• Mental Health Counselor in Hydaburg, AK
• Providers in Hydaburg, 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 Mar 27, 2019; 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.