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MRS. KELLY SHANKLIN
NPI 1306172069
Counselor - Mental Health in Fairbanks, AK

Active since October 29, 2009
3830 S CUSHMAN ST, FAIRBANKS, AK 99701(907) 455-1423(907) 455-1460 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kelly Shanklin NPPES

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

MRS. KELLY SHANKLIN (NPI 1306172069) is an individual mental health provider in Fairbanks, Alaska and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1306172069
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KELLY SHANKLIN
Location Address3830 S CUSHMAN STFairbanks, AK 99701-7530
Mailing Address3830 S Cushman StFairbanks, AK 99701-7530 · (907) 455-1423 · Fax (907) 455-1460
Phone(907) 455-1423
Fax(907) 455-1460
Sole ProprietorYes
Enumeration DateOctober 29, 2009
✔ NPI 1306172069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3830 S CUSHMAN ST, Fairbanks, AK 99701
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Other Identifiers 2

MedicaidMH0157AK
Medicare PINK0000WCHCPAK

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.

MR. ROBERT MITCHELL RICKSON JR.
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
MS. PAULINE LIAN B.A.
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
TAMMY SUE KORB
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
FAIRBANKS COMMUNITY BEHAVIORAL HEALTH CENTER
Community/Behavioral Health
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
LENORA STOCKTON SEAY
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC
Community/Behavioral Health
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
MR. TYLER ANDREW MATLOCK
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-5304
GLEN STONE
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-5304

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 Kelly Shanklin's NPI number?

The NPI number for Kelly Shanklin is 1306172069. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Where is Kelly Shanklin located?

Kelly Shanklin practices at 3830 S Cushman St, Fairbanks, AK 99701. The listed phone number is (907) 455-1423.

What is Kelly Shanklin'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 Kelly Shanklin was last updated on October 29, 2009. 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.