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
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
Mailing address
4040 S Discovery Bay Dr
Wasilla, AK 99654-0397
Registry dates
- Enumerated
- 2025-07-25
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Frequently asked questions
- 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.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.