JENNIFER TYLER M.S. CDC-1 ICCTP NPI 1366819930

NPI Information

NPI: 1366819930
Provider Name: JENNIFER TYLER, M.S., CDC-1, ICCTP
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Individual
Address: 10735 KENAI SPUR HWY # 2B
KENAI, AK
ZIP 99611
Phone: (907) 283-9947

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NPI Details

Jennifer Tyler, M.S., CDC-1, ICCTP is a mental health counselor in Kenai, AK. Jennifer Tyler, M.S., CDC-1, ICCTP NPI is 1366819930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10735 KENAI SPUR HWY # 2B
KENAI, AK
ZIP 99611-859
Phone: (907) 283-9947
Fax: (907) 283-9949

The enumeration date for this NPI number is 8/30/2015 and was last updated on 8/30/2015.

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	174400000X	Specialist		1023805	ALASKA	No
2	101YM0800X	Counselor	Mental Health	1025263	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1023805	OTHER	ALASKA	STATE OF AK
2	1025263	OTHER	ALASKA	STATE OF AK

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: 11/21/2025

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