Shana Mickenham, LPC, CDCS, BHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

508 Upland St
Kenai, AK 99611-8026

Phone

(907) 335-7500

NPI assigned

Jul 16, 2018

Last updated

Apr 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Bellevue Hospital Medical College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kenaitze Indian TribeGroup PAC ID 4082506225, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Kenaitze Indian Tribe

  dba Dena'ina Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Kenai, AK
  • NPI 1932114600
  Medicare reassignment Care Compare group NPD
• Kenaitze Indian Tribe

  dba Denaina Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Kenai, AK
  • NPI 1295972677
  NPD
• Kenaitze Indian Tribe

  dba Nakenu Family Center Mental Health Clinic

  • Community/Behavioral Health Agency
  • Kenai, AK
  • NPI 1699986687
  NPD
• Copper River Native Association

  dba CRNA Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Glennallen, AK
  • NPI 1962900100
  NPD (past)
• Kenaitze Indian Tribe

  dba Dena'ina Wellness Center Soldotna

  • Federally Qualified Health Center (FQHC)
  • Soldotna, AK
  • NPI 1194603076
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1972089738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245401",
            "telephone_number": "907-335-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UPLAND ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118026",
            "telephone_number": "907-335-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 W Rockwell Ave",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697439",
            "country_code": "US",
            "telephone_number": "907-335-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICKENHAM",
        "first_name": "SHANA",
        "credential": "LPC, CDCS, BHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark R Mencel, PA-C
• Ann Marie Mercer, FNP
• Heidi Beth Metteer, SLPA
• Mary Jo Mettler, LPC
• Karey Mewbourn, APRN
• Rhonda Lynn Miles
• Andrea L. Miller
• Linda Apollonia Miller
• Rachel Marie Minkel
• Alyssa J Minnich

• Mental Health Counselor in Kenai, AK
• Providers in Kenai, 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 Apr 13, 2026; 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.