Individual provider Active NPI

Victoria Kildal, LPC

  • Professional Counselor
  • Tok, AK
National Provider Identifier
1154749570
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
746 Issued in AK
Practice address
398 W C St & Willow Way
Tok, AK 99780-0398
Phone
(907) 883-5106
Fax
(907) 883-5108
NPI assigned
Apr 2, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 746 AK Primary

Addresses

Primary practice location

398 W C St & Willow Way
Tok, AK 99780-0398

Mailing address

PO Box 398
Tok, AK 99780-0398
Phone (907) 883-5106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 23, 2025 through May 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
746AKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tok Area Mental Health Council, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1154749570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "TOK",
            "state": "AK",
            "postal_code": "997800398",
            "telephone_number": "907-883-5106",
            "fax_number": "907-883-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 W C ST & WILLOW WAY",
            "city": "TOK",
            "state": "AK",
            "postal_code": "997800398",
            "telephone_number": "907-883-5106",
            "fax_number": "907-883-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILDAL",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tok, AK

Sources for this page

Verify at the official NPI Registry.