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AMANDA RENEE KOOKESH LPC
NPI 1609557883
Counselor in Anchorage, AK

Active since July 31, 2023Opted out of Medicare · through May 9, 2027
308 G ST STE 311, ANCHORAGE, AK 99501(907) 519-0353 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Renee Kookesh Lpc NPPES

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

AMANDA RENEE KOOKESH LPC (NPI 1609557883) is an individual counselor in Anchorage, Alaska, licensed in Alaska (162904) and active in the NPI registry since July 2023. She has opted out of Medicare through May 9, 2027.

NPPES Registry Identity

NPI1609557883
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameAMANDA RENEE KOOKESHCredential: LPC
Location Address308 G ST STE 311Anchorage, AK 99501-2153
Mailing Address308 G St Ste 311Anchorage, AK 99501-2153 · (907) 519-0353
Phone(907) 519-0353
Sole ProprietorYes
Enumeration DateJuly 31, 2023
NPPES CertifiedJuly 29, 2023
✔ NPI 1609557883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AK · 162904
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
308 G ST STE 311, Anchorage, AK 99501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amanda Renee Kookesh Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2025 through May 9, 2027.

Opt-Out Effective DateMay 9, 2025
Opt-Out In Effect ThroughMay 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

JENNIFER LEIGH GESSERT LPC, CDCI
Counselor (Mental Health)
308 G ST STE 311
ANCHORAGE, AK 99501
Anchorage Municipality (907) 308-4018

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 Kookesh's NPI number?

The NPI number for Amanda Kookesh is 1609557883. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Amanda Kookesh located?

Amanda Kookesh practices at 308 G St Ste 311, Anchorage, AK 99501. The listed phone number is (907) 519-0353.

What is Amanda Kookesh's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Amanda Kookesh enrolled in Medicare?

No. Amanda Kookesh has opted out of Medicare through May 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Kookesh was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.