Active NPI
Terry Lynn Tuttle, PHD
- Professional Counselor
- Bethel, AK
National Provider Identifier
1013129253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 725
- Practice address
- 900 Chief Eddie Hoffman Highway
Bethel, AK 99559 - Phone
- (907) 543-6100
- NPI assigned
- May 3, 2007
- Last updated
- Oct 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 725 | AK | Primary |
Addresses
Primary practice location
900 Chief Eddie Hoffman Highway
Bethel, AK 99559
Mailing address
171 Mission Lake
PO Box 1686
Bethel, AK 99559-1686
Phone (907) 545-3815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH0150 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 725 | AK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1013129253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MISSION LAKE",
"address_2": "PO BOX 1686",
"city": "BETHEL",
"state": "AK",
"postal_code": "995591686",
"telephone_number": "907-545-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CHIEF EDDIE HOFFMAN HIGHWAY",
"city": "BETHEL",
"state": "AK",
"postal_code": "99559",
"telephone_number": "907-543-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "TERRY",
"middle_name": "LYNN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MH0150",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethel, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.