Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184901035 Individual Practitioner Male Practitioner

Willie Nick David

Counselor • Kwethluk, AK

Professional Overview & Biography Verified Profile Summary

Willie David is a registered healthcare professional specializing in Counselor in Kwethluk, AK. Practice services are available at 49 AIRPORT ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

49 Airport Road

Kwethluk, AK 99621

Telephone 9077576627
Fax 9077576626

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Kwethluk, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Kwethluk, AK (1191 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1020986 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Rhonda Jackson

Community Health Worker

NPI 1164062386
Charlamagne Olick

Community Health Worker

NPI 1194356626
Carla Suskuk

Community Health Worker

NPI 1295262939
Alexandra Peterson

Community Health Worker

NPI 1346653243
Patricia David

Community Health Worker

NPI 1376174433
Jordan Fisher

Community Health Worker

NPI 1528523370

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2014

Registered at 49 AIRPORT ROAD, KWETHLUK, AK 99621 (Tel: 9077576627)

📍
Updated Business Mailing Address January 15, 2014

Registered at PO BOX 69, KWETHLUK, AK 99621 (Tel: 9077576627)

👤
Provider Name / Credentials Updated January 15, 2014

Recorded as WILLIE DAVID

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2014

Counselor

🟢
Initial NPI Registration & Enumeration November 07, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184901035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2011
Last Update: January 15, 2014
Sole Proprietor: No

Mailing Address

Po Box 69

Kwethluk, AK 99621

Phone: 9077576627

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.