SHANA MICKENHAM LPC, CDCS, BHP
NPI 1972089738
Counselor - Mental Health in Kenai, AK
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
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Shana Mickenham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kenai, AK 99611
- Reassigned Medicare billing, Alaska enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Shana Mickenham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shana Mickenham reassigns Medicare benefits to Kenaitze Indian Tribe (Kenai, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shana Mickenham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Shana Mickenham, LPC, CDCS, BHP · NPI 1972089738
Mental Health provider in Kenai, Alaska. Individual provider, active in the CMS NPPES registry since July 16, 2018.
## Identity
- **NPI:** 1972089738 (Entity type: Individual)
- **Enumerated:** July 16, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 508 UPLAND ST, Kenai, AK 99611-8026
- **Phone:** (907) 335-7500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kenaitze Indian Tribe (NPI 1295972677, Kenai, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Bellevue Hospital Medical College, class of 2017
## Record status
- **NPPES last updated:** April 13, 2026
- **Other identifiers:** Medicaid 1716463 (AK); Medicaid 1757656 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1972089738) · Data from the CMS NPPES public registry.