Organization
CITY OF KETCHIKAN-GATEWAY CENTER FOR HUMAN SERVICES
Active
Organization
CITY OF KETCHIKAN-GATEWAY CENTER FOR HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL AMYLON (CITY MANAGER)
(907) 225-3111
Entity
Organization
Contact information
Practice address
3050 5TH AVE, KETCHIKAN, AK 99901-5773
(907) 225-4135
(907) 247-4135
Mailing address
3050 5TH AVE, KETCHIKAN, AK 99901-5773
(907) 225-4135
(907) 247-4135
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
AK
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
AK
101YM0800X
Mental Health Counselor
—
AK
101YP2500X
Professional Counselor
—
AK
103TC0700X
Clinical Psychologist
—
AK
1041C0700X
Clinical Social Worker
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA4438
—
AK
05
—
DA7113
—
AK
05
—
MH0133
—
AK
Enumeration date
08/26/2005
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up