SUSAN B GAINES LCDC
NPI 1487106605
Counselor - Addiction (Substance Use Disorder) in Kodiak, AK

Active since November 04, 2016
3449 REZANOF DRIVE EAST, KODIAK, AK 99615(907) 486-9800(907) 486-9896 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan B Gaines Lcdc NPPES

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

SUSAN B GAINES LCDC (NPI 1487106605) is an individual addiction (substance use disorder) provider in Kodiak, Alaska, licensed in Texas (2427) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1487106605
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSUSAN B GAINESCredential: LCDC
Location Address3449 REZANOF DRIVE EASTKodiak, AK 99615
Mailing Address3449 Rezanof Drive EastKodiak, AK 99615 · (907) 486-9800 · Fax (907) 486-9896
Fax(907) 486-9896
Sole ProprietorYes
Enumeration DateNovember 4, 2016
NPI 1487106605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in TX · 2427
3449 REZANOF DRIVE EAST, Kodiak, AK 99615

Other Providers at the Same Location NPPES

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

Massage Therapist
3449 REZANOF DRIVE EAST
KODIAK, AK 99615

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 Susan Gaines's NPI number?

The NPI number for Susan Gaines is 1487106605. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Where is Susan Gaines located?

Susan Gaines practices at 3449 Rezanof Drive East, Kodiak, AK 99615. The listed phone number is (907) 486-9800.

What is Susan Gaines's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Susan Gaines was last updated on November 4, 2016. 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.