OrganizationActive
Alaska Counselor Lpc
NPI 1164163259 · Community/Behavioral Health Agency · Ketchikan, AK
Provider details
- NPI number
- 1164163259
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ruth Bullock, Owner(907) 220-6090
Specialties & taxonomies
Agencies
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1200 Tongass Ave
Ketchikan, AK 99901-6136
Phone: (907) 220-6090
Street-level locationGet directions
Mailing address
410 Tower Rd
Ketchikan, AK 99901-5357
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-04-05
- Certified
- 2022-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.