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KIM DERTINGER
NPI 1427374248
Counselor in Fairbanks, AK

Active since April 19, 2010
3830 S CUSHMAN ST, FAIRBANKS, AK 99701(907) 452-1575 Get Directions Write a Review

NPPES record last updated: April 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Dertinger NPPES

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

KIM DERTINGER (NPI 1427374248) is an individual counselor in Fairbanks, Alaska and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1427374248
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIM DERTINGER
Location Address3830 S CUSHMAN STFairbanks, AK 99701-7530
Mailing Address3830 S Cushman StFairbanks, AK 99701-7530 · (907) 452-1575
Phone(907) 452-1575
Sole ProprietorNo
Enumeration DateApril 19, 2010
✔ NPI 1427374248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3830 S CUSHMAN ST, Fairbanks, AK 99701
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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 Kim Dertinger's NPI number?

The NPI number for Kim Dertinger is 1427374248. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Where is Kim Dertinger located?

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

What is Kim Dertinger's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kim Dertinger was last updated on April 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.