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JEFFREY BLYTH
NPI 1508385071
Counselor - Mental Health in Bethel, AK

Active since September 15, 2017
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559(907) 543-6100 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2021, Sep 15, 2017 (2 updates tracked since 2017).

About Jeffrey Blyth NPPES

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

JEFFREY BLYTH (NPI 1508385071) is an individual mental health provider in Bethel, Alaska, licensed in (1512) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1508385071
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEFFREY BLYTH
Location Address700 CHIEF EDDIE HOFFMAN HIGHWAYBethel, AK 99559
Mailing AddressPo Box 528Bethel, AK 99559-0528
Phone(907) 543-6100
Sole ProprietorYes
Enumeration DateSeptember 15, 2017
Last NPPES UpdateMay 21, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
✔ NPI 1508385071 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 · 1512
700 CHIEF EDDIE HOFFMAN HIGHWAY, Bethel, AK 99559
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Other Identifiers 1

Medicaid1020986AK

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.

MAY PRUNES
Day Training/Habilitation Specialist
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
JIMMY J. JIMMY
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
WYNDI RACHELE ADAMS R.T.(R)
Radiologic Technologist (Radiography)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6000
DAREK NORATAK
Day Training/Habilitation Specialist
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
FREIDA SERGIE
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
MS. PHYLLIS ANNETTE COYLE RD, LD
Dietitian, Registered
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
HANNAH OWEN
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300
KATHLEEN WASSILLIE
Technician (Personal Care Attendant)
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6300

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 Jeffrey Blyth's NPI number?

The NPI number for Jeffrey Blyth is 1508385071. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Where is Jeffrey Blyth located?

Jeffrey Blyth practices at 700 Chief Eddie Hoffman Highway, Bethel, AK 99559. The listed phone number is (907) 543-6100.

What is Jeffrey Blyth'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 Jeffrey Blyth was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.