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MICHAEL HANDRICKS
NPI 1063634491
Counselor in Kodiak, AK

Active since May 03, 2007
3449 E REZANOF DR, KODIAK, AK 99615(907) 486-9824(907) 486-3498 Get Directions Write a Review

NPPES record last updated: January 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Handricks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL HANDRICKS (NPI 1063634491) is an individual counselor in Kodiak, Alaska, licensed in Alaska (TTS02-09-006P) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1063634491
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMICHAEL HANDRICKS
Location Address3449 E REZANOF DRKodiak, AK 99615-6952
Mailing Address3449 E Rezanof DrKodiak, AK 99615-6952 · (907) 486-9824 · Fax (907) 486-3498
Phone(907) 486-9824
Fax(907) 486-3498
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJanuary 19, 2010
✔ NPI 1063634491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AK · TTS02-09-006P
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDC 1 3614 (AK)
3449 E REZANOF DR, Kodiak, AK 99615
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Other Identifiers 1

MedicaidDA4442AK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KODIAK AREA NATIVE ASSOCIATION PHARMACY
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9860
JOANNE MARIE WARD CHA-P
Community Health Worker
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
ALISON STARR PA-C
Physician Assistant
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
JORDAN BEARD
Counselor (Professional)
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 942-0672
MARGARET KAVANAUGH
Case Manager/Care Coordinator
3449 E REZANOF DR, INFANT LEARNING PROGRAM
KODIAK, AK 99615
Kodiak Island Borough (907) 486-1374
IRENE RAE NELSON
Community Health Worker
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
PAIGE BUER PA-C
Physician Assistant
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
MR. PHILLIP ANTHONY JORDINELLI CDCS, NCACI, SAP
Counselor (Addiction (Substance Use Disorder))
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9823

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Handricks's NPI number?

The NPI number for Michael Handricks is 1063634491. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Michael Handricks located?

Michael Handricks practices at 3449 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-9824.

What is Michael Handricks's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Michael Handricks was last updated on January 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.