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JESSICA TACKER
NPI 1114756020
Counselor - Mental Health in Ketchikan, AK

Active since July 29, 2024
2524 FIRST AVE, KETCHIKAN, AK 99901(907) 225-4664 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Tacker NPPES

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

JESSICA TACKER (NPI 1114756020) is an individual mental health provider in Ketchikan, Alaska and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1114756020
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA TACKER
Location Address2524 FIRST AVEKetchikan, AK 99901-5804
Mailing AddressPo Box 7475Ketchikan, AK 99901-2475
Phone(907) 225-4664
Sole ProprietorNo
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1114756020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2524 FIRST AVE, Ketchikan, AK 99901
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Other Identifiers 2

Medicaid1713721AK
Medicaid1703638AK

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.

YAITZA RESTO
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. RYAN MIKAEL DUCKWORTH
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (816) 656-1153
MS. ALICIA JO SMITH
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 821-9810
MS. BROOKE ANN AVILA
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 617-6145
MS. SHELBY RAE DUCKWORTH
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 821-2531
MR. GABRIEL LOUIS STEELE DUCKWORTH
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 220-7322
DAYANA FUNEZ MARTINEZ
Counselor (Mental Health)
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
RESILIENT YOUTH & COMMUNITY (RYC)
Clinic/Center (Mental Health (Including Community Mental Health Center))
2524 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664

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 Jessica Tacker's NPI number?

The NPI number for Jessica Tacker is 1114756020. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Jessica Tacker located?

Jessica Tacker practices at 2524 First Ave, Ketchikan, AK 99901. The listed phone number is (907) 225-4664.

What is Jessica Tacker'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 Jessica Tacker was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.