AMANDA PAULETTE GANNON LMSW
NPI 1285234419
Counselor - Mental Health in Ketchikan, AK

Active since October 27, 2020
344 FRONT ST STE A, KETCHIKAN, AK 99901(572) 999-0107 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2024, Oct 27, 2020 (2 updates tracked since 2020).

About Amanda Paulette Gannon Lmsw NPPES

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

AMANDA PAULETTE GANNON LMSW (NPI 1285234419) is an individual mental health provider in Ketchikan, Alaska, licensed in Alaska (215055) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1285234419
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA PAULETTE GANNONCredential: LMSW
Location Address344 FRONT ST STE AKetchikan, AK 99901-6431
Mailing AddressPo Box 519Ward Cove, AK 99928-0519 · (907) 204-0874
Sole ProprietorNo
Enumeration DateOctober 27, 2020
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
NPI 1285234419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AK · 215055
Also ListedSocial WorkerTaxonomy 104100000X · License 215055 (AK)
344 FRONT ST STE A, Ketchikan, AK 99901

Other Identifiers 1

Medicaid1366719759AK

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Massage Therapist
344 FRONT ST STE A
KETCHIKAN, AK 99901
Social Worker
344 FRONT ST STE A
KETCHIKAN, AK 99901

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 Amanda Gannon's NPI number?

The NPI number for Amanda Gannon is 1285234419. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Amanda Gannon located?

Amanda Gannon practices at 344 Front St Ste A, Ketchikan, AK 99901. The listed phone number is (572) 999-0107.

What is Amanda Gannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Amanda Gannon accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Amanda Gannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Gannon was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.