What is Tanner Kettwig's NPI number?

Tanner Kettwig's National Provider Identifier (NPI) is 1063395325, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tanner Kettwig's specialty?

Tanner Kettwig is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Tanner Kettwig located?

Tanner Kettwig's practice location on file with NPPES is 4040 S Discovery Bay Dr, Wasilla, AK 99654-0397.

What is Tanner Kettwig's phone number?

The practice phone number listed in the NPPES registry for Tanner Kettwig is (605) 467-9129.

Is Tanner Kettwig's NPI active?

Yes — Tanner Kettwig's NPI (1063395325) is active in the NPPES registry as of the last update on 2025-07-25.

IndividualActive

Tanner Kettwig

NPI 1063395325 · Mental Health Counselor · Wasilla, AK

Tanner Kettwig is a Mental Health Counselor provider in Wasilla, AK (NPI 1063395325).

Provider details

NPI number: 1063395325
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4040 S Discovery Bay Dr

Wasilla, AK 99654-0397

Phone: (605) 467-9129

Street-level locationGet directions

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Mailing address