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

TACOMA CORONEL
NPI 1508634064
Counselor - Mental Health in Ketchikan, AK

Active since December 14, 2023
2514 FIRST AVE, KETCHIKAN, AK 99901(907) 225-4664 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tacoma Coronel NPPES

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

TACOMA CORONEL (NPI 1508634064) is an individual mental health provider in Ketchikan, Alaska and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1508634064
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTACOMA CORONEL
Location Address2514 FIRST AVEKetchikan, AK 99901-5804
Mailing AddressPo Box 7475Ketchikan, AK 99901-2475
Phone(907) 225-4664
Sole ProprietorNo
Enumeration DateDecember 14, 2023
NPPES CertifiedDecember 14, 2023
✔ NPI 1508634064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2514 FIRST AVE, Ketchikan, AK 99901
Open in Google Maps ↗

Other Identifiers 2

Medicaid1713721AK
Medicaid1703638AK

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. MICHAEL IANN MARTIN
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 821-8119
MR. MARK JAMES SHERRARD
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MS. KAYLA DAWN EDENSHAW
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. SHAUN AURTHER BRYNAERT
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. WILLIAM PERRY-CONRAD CANFIELD
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. JAMES EDWARD MCDONALD JR.
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MS. SARA LOUISE GRAHAM
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. CHARLES C SUCKINAW
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664

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 Tacoma Coronel's NPI number?

The NPI number for Tacoma Coronel is 1508634064. It was assigned to this individual provider in the NPPES registry on December 14, 2023.

Where is Tacoma Coronel located?

Tacoma Coronel practices at 2514 First Ave, Ketchikan, AK 99901. The listed phone number is (907) 225-4664.

What is Tacoma Coronel'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 Tacoma Coronel was last updated on December 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.