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JACKIE RUTIGLAN
NPI 1053661132
Counselor - Mental Health in Fairbanks, AK

Active since September 14, 2012
3830 S CUSHMAN ST, FAIRBANKS, AK 99701(907) 452-1575 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Rutiglan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE RUTIGLAN (NPI 1053661132) is an individual mental health provider in Fairbanks, Alaska and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1053661132
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACKIE RUTIGLAN
Location Address3830 S CUSHMAN STFairbanks, AK 99701-7530
Mailing Address3830 S Cushman StFairbanks, AK 99701-7530
Phone(907) 452-1575
Sole ProprietorYes
Enumeration DateSeptember 14, 2012
✔ NPI 1053661132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3830 S CUSHMAN ST, Fairbanks, AK 99701
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Other Identifiers 2

Medicare PINK0000WCHCPAK
MedicaidMH0157AK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT MITCHELL RICKSON JR.
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
MS. PAULINE LIAN B.A.
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
TAMMY SUE KORB
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
FAIRBANKS COMMUNITY BEHAVIORAL HEALTH CENTER
Community/Behavioral Health
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
LENORA STOCKTON SEAY
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC
Community/Behavioral Health
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-1575
MR. TYLER ANDREW MATLOCK
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-5304
GLEN STONE
Counselor (Mental Health)
3830 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 455-5304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Rutiglan's NPI number?

The NPI number for Jackie Rutiglan is 1053661132. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Jackie Rutiglan located?

Jackie Rutiglan practices at 3830 S Cushman St, Fairbanks, AK 99701. The listed phone number is (907) 452-1575.

What is Jackie Rutiglan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jackie Rutiglan was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.