JENNIFER TYLER M.S., CDC-1, ICCTP
NPI 1366819930
Counselor - Mental Health in Kenai, AK

Q: What is Jennifer Tyler's NPI number?

The NPI number for Jennifer Tyler is 1366819930. It was assigned to this individual provider in the NPPES registry on August 30, 2015.

Q: What is Jennifer Tyler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Tyler was last updated on August 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 30, 2015

10735 KENAI SPUR HWY # 2B, KENAI, AK 99611(907) 283-9947(907) 283-9949 Get Directions Write a Review

NPPES record last updated: August 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Tyler M.s., Cdc-1, Icctp NPPES

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

JENNIFER TYLER M.S., CDC-1, ICCTP (NPI 1366819930) is an individual mental health provider in Kenai, Alaska, licensed in Alaska (1025263) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1366819930

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNIFER TYLERCredential: M.S., CDC-1, ICCTP

Location Address10735 KENAI SPUR HWY # 2BKenai, AK 99611-7859

Mailing Address1700 Lawton Dr # AKenai, AK 99611-8913 · (907) 283-9947 · Fax (907) 283-9949

Phone(907) 283-9947

Fax(907) 283-9949

Sole ProprietorYes

Enumeration DateAugust 30, 2015

✔ NPI 1366819930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AK · 1025263

Also ListedSpecialistTaxonomy 174400000X · License 1023805 (AK)

10735 KENAI SPUR HWY # 2B, Kenai, AK 99611

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Other Identifiers 2

Other1023805AK · State Of Ak

Other1025263AK · State Of Ak

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 Jennifer Tyler's NPI number?

The NPI number for Jennifer Tyler is 1366819930. It was assigned to this individual provider in the NPPES registry on August 30, 2015.

Where is Jennifer Tyler located?

Jennifer Tyler practices at 10735 Kenai Spur Hwy # 2B, Kenai, AK 99611. The listed phone number is (907) 283-9947.

What is Jennifer Tyler'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 Jennifer Tyler was last updated on August 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.