SHANA MICKENHAM LPC, CDCS, BHP
NPI 1972089738
Counselor - Mental Health in Kenai, AK

Active since July 16, 2018PECOS EnrolledAccepts Medicare Assignment
508 UPLAND ST, KENAI, AK 99611(907) 335-7500 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 13, 2026, Aug 12, 2025, Jan 24, 2023 and 2 more (5 updates tracked since 2018).

About Shana Mickenham Lpc, Cdcs, Bhp NPPES

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

SHANA MICKENHAM LPC, CDCS, BHP (NPI 1972089738) is an individual mental health provider in Kenai, Alaska and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Soldotna, and is a graduate of Bellevue Hospital Medical College (2017).

NPPES Registry Identity

NPI1972089738
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANA MICKENHAMCredential: LPC, CDCS, BHP
Location Address508 UPLAND STKenai, AK 99611-8026
Mailing AddressPo Box 84101Seattle, WA 98124-5401 · (907) 335-7500
Sole ProprietorNo
Medical School CMSBellevue Hospital Medical CollegeGraduated 2017
Enumeration DateJuly 16, 2018
Last NPPES UpdateApril 13, 20265 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1972089738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
508 UPLAND ST, Kenai, AK 99611

Secondary Practice Location 1

Location 1206 W Rockwell AveSoldotna, AK 99669-7439 · Phone (907) 335-7500

Other Identifiers 2

Medicaid1716463AK
Medicaid1757656AK

Accepted Insurance

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

Shana Mickenham Lpc, Cdcs, Bhp 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 ID5193166767
PECOS Enrollment IDI20240514001286
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.

Community Health Worker
508 UPLAND ST
KENAI, AK 99611
Community Health Worker
508 UPLAND ST
KENAI, AK 99611
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Nurse Practitioner (Family)
508 UPLAND ST
KENAI, AK 99611
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Counselor (Mental Health)
508 UPLAND ST
KENAI, AK 99611
Dentist
508 UPLAND ST
KENAI, AK 99611

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 Shana Mickenham's NPI number?

The NPI number for Shana Mickenham is 1972089738. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Shana Mickenham located?

Shana Mickenham practices at 508 Upland St, Kenai, AK 99611. The listed phone number is (907) 335-7500.

What is Shana Mickenham's specialty?

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

Is Shana Mickenham enrolled in Medicare?

Yes. Shana Mickenham 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.

What insurance does Shana Mickenham accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Shana Mickenham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shana Mickenham was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.