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ETHAN SHANE BLEVINS
NPI 1164952966
Counselor in Bethel, AK

Active since June 14, 2017

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Shane Blevins NPPES

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

ETHAN SHANE BLEVINS (NPI 1164952966) is an individual counselor in Bethel, Alaska and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1164952966
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameETHAN SHANE BLEVINS
Location Address381 4TH AVEBethel, AK 99559
Mailing AddressPo Box 528, Attn: Bh BautistaBethel, AK 99559
Phone(907) 543-2242
Sole ProprietorNo
Enumeration DateJune 14, 2017
✔ NPI 1164952966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
381 4TH AVE, Bethel, AK 99559
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Other Identifiers 1

Medicaid1020986AR

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.

GRANT IAN SLATS
Counselor
381 4TH AVE
BETHEL, AK 99559
Bethel (907) 543-2242
CHRISTIAN J ANDREW
Counselor
381 4TH AVE
BETHEL, AK 99559
Bethel (907) 543-2242
DAISY THOMPSON
Counselor
381 4TH AVE
BETHEL, AK 99559
Bethel (907) 543-2242
JOSHUA MENDENHALL I
Counselor
381 4TH AVE
BETHEL, AK 99559
Bethel (907) 543-2242
HEATHER KANUK
Counselor
381 4TH AVE
BETHEL, AK 99559
Bethel (907) 543-2242
GLORIA WILLIAMS
Counselor
381 4TH AVE
BETHEL, AK 99559
Bethel (907) 543-2242
DOROTHY WHITE
Case Manager/Care Coordinator
381 4TH AVE
BETHEL, AK 99559
Bethel (907) 543-2242
PAUL JOSEPH HUNTER
Counselor
381 4TH AVE
BETHEL, AK 99559
Bethel (907) 543-2242

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 Ethan Blevins's NPI number?

The NPI number for Ethan Blevins is 1164952966. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Ethan Blevins located?

Ethan Blevins practices at 381 4th Ave, Bethel, AK 99559. The listed phone number is (907) 543-2242.

What is Ethan Blevins'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 Ethan Blevins was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.