TIMOTHY GILLIS LPC, LPCS, MAC, CDCI
NPI 1154639763
Counselor - Professional in Kenai, AK

Active since September 16, 2010
110 N WILLOW ST, KENAI, AK 99611(907) 398-0524(888) 678-2961 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Gillis Lpc, Lpcs, Mac, Cdci NPPES

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

TIMOTHY GILLIS LPC, LPCS, MAC, CDCI (NPI 1154639763) is an individual professional provider in Kenai, Alaska, licensed in Alaska (624) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1154639763
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTIMOTHY GILLISCredential: LPC, LPCS, MAC, CDCI
Location Address110 N WILLOW STKenai, AK 99611-7701
Mailing AddressPo Box 1692Kenai, AK 99611-1692 · (907) 398-0524 · Fax (888) 678-2961
Fax(888) 678-2961
Sole ProprietorYes
Enumeration DateSeptember 16, 2010
Last NPPES UpdateJanuary 30, 2017
NPI 1154639763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AK · 624
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 508906 (AK)
110 N WILLOW ST, Kenai, AK 99611

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
110 N WILLOW ST
KENAI, AK 99611
Speech-Language Pathologist
110 N WILLOW ST
KENAI, AK 99611

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 Timothy Gillis's NPI number?

The NPI number for Timothy Gillis is 1154639763. It was assigned to this individual provider in the NPPES registry on September 16, 2010.

Where is Timothy Gillis located?

Timothy Gillis practices at 110 N Willow St, Kenai, AK 99611. The listed phone number is (907) 398-0524.

What is Timothy Gillis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Timothy Gillis accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Timothy Gillis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Gillis was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.