1. Home
  2. Directory
  3. Alaska
  4. Anchorage
  5. Counselor
  6. NPI Profile

JERRY DWYANE SHOUGH
NPI 1295341428
Counselor - Mental Health in Anchorage, AK

Active since September 22, 2020
1709 BRAGAW ST, ANCHORAGE, AK 99508(907) 562-5340 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jerry Dwyane Shough NPPES

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

JERRY DWYANE SHOUGH (NPI 1295341428) is an individual mental health provider in Anchorage, Alaska and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1295341428
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJERRY DWYANE SHOUGH
Location Address1709 BRAGAW STAnchorage, AK 99508-3436
Mailing Address2720 Derby WayAnchorage, AK 99504-3231 · (907) 223-2665
Phone(907) 562-5340
Sole ProprietorNo
Enumeration DateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
✔ NPI 1295341428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1709 BRAGAW ST, Anchorage, AK 99508
Open in Google Maps ↗

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.

TAU VAAIA
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-5340
BERNADETTE SHOLD DEVENY
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-5340
MICHELLE VAAIA
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-5340
JORDAN K MILLER
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 792-4121
JANE EVE REGISTE
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 792-4117
HAYLEE ROSE LONGSINE
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 792-4145
JUITA JOHNSON
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-5340
CORY ANDREW PEPITON
Counselor (Mental Health)
1709 BRAGAW ST
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-5340

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 Jerry Shough's NPI number?

The NPI number for Jerry Shough is 1295341428. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Jerry Shough located?

Jerry Shough practices at 1709 Bragaw St, Anchorage, AK 99508. The listed phone number is (907) 562-5340.

What is Jerry Shough's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerry Shough was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.