JOANNA MITCHELL , NPI 1801341029 — SITKA (AK)

NPI 1801341029

3+ Years Experience Individual

JOANNA MITCHELL

08/17/2016
PROVIDER ENUMERATION DATE
08/17/2016
LAST UPDATE DATE
1801341029
NPI NUMBER

About JOANNA MITCHELL

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

JOANNA MITCHELL is a provider established in SITKA, AK. The NPI number of JOANNA MITCHELL is 1801341029 and was assigned on 08/17/2016. The practitioners primary taxonomy code is: 101Y00000X .

Mailing address

  • City: SITKA
  • State: AK
  • Postal code: 998357666
  • Phone: 9077473636
  • Address: 113 METLAKATLA ST

Primary Practice Address

  • Region : SITKA, AK
  • NPI : 1801341029
  • Phone : 9077473636
  • Postalcode : 998357666
  • Address : 113 METLAKATLA ST

Provider taxonomy - Counselor

  • Taxonomy code: 101Y00000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master"s degree and clinical experience and supervision for licensure or certification.

Contacts:

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  • JOANNA MITCHELL
  • Address : 113 METLAKATLA ST
  • Region : SITKA, AK
  • NPI : 1801341029
  • Phone : 9077473636
  • Postalcode : 998357666

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address113 METLAKATLA ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameSITKA
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameAK
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code998357666
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9077473636
The telephone number associated with the location address of the provider being identified.
NPI1801341029
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master"s degree and clinical experience and supervision for licensure or certification.
Provider Enumeration Date08/17/2016
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated08/17/2016
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)JOANNA MITCHELL
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address113 METLAKATLA ST
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameSITKA
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameAK
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code998357666
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9077473636
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1101Y00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Counselor
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master"s degree and clinical experience and supervision for licensure or certification.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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