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MARY SUSAN TIEDEN
NPI 1508188582
Counselor - Mental Health in Petersburg, AK

Active since February 18, 2010
201 NORTH NORDIC DRIVE, PETERSBURG, AK 99833(907) 772-3332(888) 858-8850 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Susan Tieden NPPES

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

MARY SUSAN TIEDEN (NPI 1508188582) is an individual mental health provider in Petersburg, Alaska, licensed in Alaska (293) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1508188582
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY SUSAN TIEDEN
Location Address201 NORTH NORDIC DRIVEPetersburg, AK 99833
Mailing AddressPo Box 1309Petersburg, AK 99833-1309 · (907) 772-3332 · Fax (888) 858-8850
Phone(907) 772-3332
Fax(888) 858-8850
Sole ProprietorNo
Enumeration DateFebruary 18, 2010
✔ NPI 1508188582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AK · 293
201 NORTH NORDIC DRIVE, Petersburg, AK 99833
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Other Identifiers 1

MedicaidMH1413AK

Other Providers at the Same Location NPPES 6

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

CHADWICK WRIGHT MS
Counselor (Mental Health)
201 NORTH NORDIC DRIVE
PETERSBURG, AK 99833
Petersburg Borough (907) 772-3332
PETERSBURG MENTAL HEALTH SERVICES, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
201 NORTH NORDIC DRIVE
PETERSBURG, AK 99833
Petersburg Borough (907) 772-3332
SUSAN OHMER LCSW
Social Worker (Clinical)
201 NORTH NORDIC DRIVE
PETERSBURG, AK 99833
Petersburg Borough (907) 772-3332
MARK WALKER LCSW
Social Worker (Clinical)
201 NORTH NORDIC DRIVE
PETERSBURG, AK 99833
Petersburg Borough (907) 772-3332
JESSICA YOUMANS
Community/Behavioral Health
201 NORTH NORDIC DRIVE
PETERSBURG, AK 99833
Petersburg Borough (907) 772-3332
PETERSBURG MENTAL HEALTH SERVICES
Social Worker
201 NORTH NORDIC DRIVE
PETERSBURG, AK 99833
Petersburg Borough (907) 772-3332

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 Mary Tieden's NPI number?

The NPI number for Mary Tieden is 1508188582. It was assigned to this individual provider in the NPPES registry on February 18, 2010.

Where is Mary Tieden located?

Mary Tieden practices at 201 North Nordic Drive, Petersburg, AK 99833. The listed phone number is (907) 772-3332.

What is Mary Tieden'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 Mary Tieden was last updated on February 18, 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.