SHANA MICKENHAM LPC, CDCS, BHP
NPI 1972089738
Counselor - Mental Health in Kenai, AK

NPI Status: Active since July 16, 2018

Contact Information

508 UPLAND ST
KENAI, AK
ZIP 99611
Phone: (907) 335-7500

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  • Individual
  • Female
  • Years of Experience 9
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SHANA MICKENHAM

This page provides the complete NPI Profile along with additional information for Shana Mickenham, a provider established in Kenai, Alaska with a medical specialization in Counselor, focusing in mental health and more than 9 years of experience. She graduated from Bellevue Hospital Medical College in 2017. The healthcare provider is registered in the NPI registry with number 1972089738 assigned on July 2018. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated August 2025.

NPI
1972089738
Provider Name
SHANA MICKENHAM LPC, CDCS, BHP
Gender
Female
Entity Type
Individual
Location Address
508 UPLAND ST KENAI, AK 99611
Location Phone
(907) 335-7500
Mailing Address
PO BOX 988 KENAI, AK 99611
Medical School Name
BELLEVUE HOSPITAL MEDICAL COLLEGE
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
07-16-2018
Last Update Date
08-12-2025
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A mental health counselor like Shana Mickenham provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Pioneer Alaska Standard Bronze - PPO
  • Moda Pioneer Alaska Standard Gold - PPO
  • Moda Pioneer Alaska Standard Silver - PPO
  • Moda Pioneer Bronze 6500 - PPO
  • Moda Pioneer Bronze HDHP 5500 - PPO
  • Moda Pioneer Gold 1500 - PPO
  • Moda Pioneer Silver 4500 - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1716463MEDICAID (05)AK 
1757656MEDICAID (05)AK 

Medicare Participation & PECOS Enrollment Status

Shana Mickenham is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Shana Mickenham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5193166767

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240514001286

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for SHANA MICKENHAM LPC, CDCS, BHP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972089738
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29142081876
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 0 + 8 + 1 + 8 + 7 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1972089738 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508103664 MEREDITH WOLPERT MAYFIELD PHARMD
Individual
Pharmacist508 UPLAND ST
KENAI, AK 99611
(907) 335-7546
1417512609 ANDREW SUPPLE
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7500
1689237489 KELLY WINGSTER MS
Individual
Counselor (Mental Health)508 UPLAND ST
KENAI, AK 99611
(907) 335-7500
1629631486 PATRICIA MARSTON CDC1
Individual
Counselor (Addiction (Substance Use Disorder))508 UPLAND ST
KENAI, AK 99611
(907) 335-7500
1073176319 ELIZABETH SUSAN LATZ
Individual
Case Manager/Care Coordinator508 UPLAND ST
KENAI, AK 99611
(907) 335-7300
1710541024 LESLIE SMITH
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7312
1851955090 KRISTIENA JEAN SANDERS
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7300
1588228878 LANIE BROWN
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7300
1073177242 NATALIE VILLEGAS
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7300
1346804457 KELSEY PAIGE GRAY
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7500
1194389288 JOHNATHON TAYLOR RINE
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7300
1457915589 TAMIE KAY ANDERSON
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7300
1629632690 ERIK PETERSON
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7300
1164087219 DAWN MARIE NUSHARR
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7500
1699330571 SHELLEY DAWNE POWELL- ZIMMER
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7500
1316502230 MACKENZIE RAE PIETZ
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7500
1760047419 ADAM ZUFELT
Individual
Behavior Technician508 UPLAND ST
KENAI, AK 99611
(907) 335-7200
1407409832 KOLEEN JENNESS WITTMER
Individual
Counselor (Mental Health)508 UPLAND ST
KENAI, AK 99611
(907) 335-7500
1568991149 CARALINE LYNCH TOMPKINS MS, RD, LDN
Individual
Dietitian, Registered508 UPLAND ST
KENAI, AK 99611
(907) 335-7500
1942849385 ERICA NICOLE LONG LPC
Individual
Counselor (Professional)508 UPLAND ST
KENAI, AK 99611
(907) 335-7317

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972089738, enumerated in the NPI registry as an "individual" on July 16, 2018

The provider is located at 508 Upland St Kenai, Ak 99611 and the phone number is (907) 335-7500

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider has more than 9 years of experience. She graduated from Bellevue Hospital Medical College in 2017.

The provider might be accepting Accepts: Moda Health Plan, Inc., Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on July 16, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.