TIMOTHY GILLIS LPC LPCS MAC CDCI NPI 1154639763

NPI Information

NPI: 1154639763
Provider Name: TIMOTHY GILLIS, LPC, LPCS, MAC, CDCI
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
110 N WILLOW ST
KENAI, AK
ZIP 99611
Phone: (907) 398-0524
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Timothy Gillis, LPC, LPCS, MAC, CDCI is a professional counselor in Kenai, AK. Timothy Gillis, LPC, LPCS, MAC, CDCI NPI is 1154639763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

110 N WILLOW ST
KENAI, AK
ZIP 99611-701
Phone: (907) 398-0524
Fax: (888) 678-2961

The enumeration date for this NPI number is 9/16/2010 and was last updated on 1/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	508906	ALASKA	No
2	101YP2500X	Counselor	Professional	624	ALASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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