Shana Mickenham, LPC, CDCS, BHP in Kenai, AK - Medicare Counselor Provider

Shana Mickenham, LPC, CDCS, BHP is a medicare enrolled "Counselor - Mental Health" provider in Kenai, Alaska. Her current practice location is 508 Upland St, Kenai, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 335-7500.

Shana Mickenham is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972089738.

Contact Information

	Shana Mickenham, LPC, CDCS, BHP
	508 Upland St, Kenai, AK 99611-8026
	(907) 335-7500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shana Mickenham
Gender	Female
Speciality	Counselor - Mental Health
Location	508 Upland St, Kenai, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972089738
Provider Enumeration Date: 07/16/2018
Last Update Date: 08/12/2025

Medicare PECOS Information:

PECOS PAC ID: 5193166767
Enrollment ID: I20240514001286

Medical Identifiers

Medical identifiers for Shana Mickenham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972089738	NPI	-	NPPES
1716463	Medicaid	AK
1757656	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shana Mickenham allows following entities to bill medicare on her behalf.

Entity Name	Kenaitze Indian Tribe
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932114600 PECOS PAC ID: 4082506225 Enrollment ID: O20040325000198

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shana Mickenham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shana Mickenham, LPC, CDCS, BHP Po Box 988, Kenai, AK 99611 Ph: () -	Shana Mickenham, LPC, CDCS, BHP 508 Upland St, Kenai, AK 99611-8026 Ph: (907) 335-7500

Reviews and Comments

Counselor in Kenai, AK

Emily Anne Haakenson Remmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 Marine Ave, Kenai, AK 99611 Phone: 907-398-0528
Tanya Almaraz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7500
Skyler Shay Diehl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7500
Rachel Marie Minkel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7500
Wendy Kay Dial, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10200 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-283-3658 Fax: 907-283-5046
Linda May Perry, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 506 Lake St, Kenai, AK 99611 Phone: 907-283-7501 Fax: 907-283-9006
Alecia Ann Gottlob, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 10200 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-283-3658 Fax: 907-283-5046

Shana Mickenham, LPC, CDCS, BHP - Medicare Counselor in Kenai, AK