Victoria Kildal, LPC
Individual provider Active NPI Professional Counselor · Tok, AK
NPI 1154749570 · NPPES record last updated Apr 2, 2014
Key facts
- NPI
- 1154749570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 746 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective May 23, 2025 through May 23, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 746 | AK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tok Area Mental Health Council, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 746 | AK | Yes |
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
Other providers in Tok, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.