Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shana Mickenham, LPC, CDCS, BHP

Individual provider Mental Health Counselor · NPI 1972089738

Shana Mickenham, LPC, CDCS, BHP is a Mental Health Counselor in Kenai, Alaska. Graduated from Bellevue Hospital Medical College in 2017, 9 years ago. Practices with Kenaitze Indian Tribe, a 29-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
9
Trained at
Bellevue Hospital Medical College
In the registry since
2018
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

508 Upland St
Kenai, AK 99611-8026
Phone: (907) 335-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 206 W Rockwell Ave, Soldotna, AK 99669-7439 — (907) 335-7500

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1972089738
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CDCS , BHP
Sole proprietorNo
NPI enumeratedJuly 16, 2018
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolBELLEVUE HOSPITAL MEDICAL COLLEGE
Graduated 2017 (9 years in practice)
Group practice Kenaitze Indian Tribe — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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