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

KARINA LICON
NPI 1851025456
Counselor - Mental Health in Ketchikan, AK

Active since July 11, 2022PECOS EnrolledAccepts Medicare Assignment
2524 FIRST AVE, KETCHIKAN, AK 99901(907) 202-8752 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2022, Jul 11, 2022 (2 updates tracked since 2022).

About Karina Licon NPPES

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

KARINA LICON (NPI 1851025456) is an individual mental health provider in Ketchikan, Alaska and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851025456
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKARINA LICON
Location Address2524 FIRST AVEKetchikan, AK 99901-5804
Mailing AddressPo Box 7475Ketchikan, AK 99901-2475
Phone(907) 202-8752
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 11, 2022
Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
✔ NPI 1851025456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2524 FIRST AVE, Ketchikan, AK 99901
Open in Google Maps ↗

Other Identifiers 2

Medicaid1703638AK
Medicaid1713721AK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karina Licon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618450271
PECOS Enrollment IDI20260311003027
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

YAITZA RESTO
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. RYAN MIKAEL DUCKWORTH
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (816) 656-1153
JESSICA TACKER
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MS. ALICIA JO SMITH
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 821-9810
MS. BROOKE ANN AVILA
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 617-6145
MS. SHELBY RAE DUCKWORTH
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 821-2531
MR. GABRIEL LOUIS STEELE DUCKWORTH
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 220-7322
DAYANA FUNEZ MARTINEZ
Counselor (Mental Health)
2524 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 Karina Licon's NPI number?

The NPI number for Karina Licon is 1851025456. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Karina Licon located?

Karina Licon practices at 2524 First Ave, Ketchikan, AK 99901. The listed phone number is (907) 202-8752.

What is Karina Licon's specialty?

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

Is Karina Licon enrolled in Medicare?

Yes. Karina Licon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Karina Licon was last updated on September 1, 2022. 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.