IndividualActive
Jennifer Tyler, M.S., CDC-1, ICCTP
NPI 1366819930 · Mental Health Counselor · Kenai, AK
Provider details
- NPI number
- 1366819930
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- M.S., CDC-1, ICCTP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1025263 (AK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
10735 Kenai Spur Hwy # 2b
Kenai, AK 99611-7859
Phone: (907) 283-9947
Fax: (907) 283-9949
Street-level locationGet directions
Mailing address
1700 Lawton Dr # a
Kenai, AK 99611-8913
Registry dates
- Enumerated
- 2015-08-30
- Last updated
- 2015-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.