Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Kodiak Island Counseling Center

Organization Case Management Agency · NPI 1093147589

Providence Kodiak Island Counseling Center is a Case Management Agency in Kodiak, Alaska. Licensed in Alaska. Registered with an NPI since 2013.

Licensed in
AK
In the registry since
2013
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Practice location Address checks out

717 E Rezanof Dr
Kodiak, AK 99615-6416
Phone: (907) 481-2400
Fax: (907) 481-2419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence 920162237 (AK)

Record details

NPI number1093147589
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health and Services
Authorized official Veronica Samaniego — Case Mnanager · (907) 481-2400
NPI enumeratedAugust 6, 2013
Last updated in NPPESAugust 6, 2013
Mailing address717 E Rezanof Dr, Kodiak, AK 99615-6416

Other providers in Kodiak