Individual provider Active NPI

Judy Nathalie Kendall

  • Social Worker
  • Anchorage, AK
National Provider Identifier
1306665112
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
207568 Issued in AK
Practice address
3600 San Jeronimo Dr
Anchorage, AK 99508-2870
Phone
(907) 793-3600
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 207568 AK
Social Worker 104100000X 207568 AK Primary

Addresses

Primary practice location

3600 San Jeronimo Dr
Anchorage, AK 99508-2870

Mailing address

3600 San Jeronimo Dr
Anchorage, AK 99508-2870
Phone (907) 793-3600

Other practice location 1

3149 Mountain View Dr
Anchorage, AK 99501-3106
Phone (907) 793-3600

Other practice location 2

30881 Eklutna Lake Rd
Chugiak, AK 99567-5166
Phone (907) 793-3600

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

State licenses

LicenseStateTypeSpecialty
207568AKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Inlet Tribal Council, Inc CurrentSince Nov 7, 2025 Accepting new patients
Border Counseling Services LLC PastSince Oct 13, 2024 Accepting new patients
The Talking Place Child & Adolescent Counseling LLC Past Accepting new patients
Cook Inlet Tribal Council, Inc Mental Health PastSince Nov 7, 2025 Accepting new patients

Locations

3600 San Jeronimo Dr
Anchorage, AK 99508
Phone (907) 793-3200

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/citci/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1306665112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SAN JERONIMO DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082870",
            "telephone_number": "907-793-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SAN JERONIMO DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082870",
            "telephone_number": "907-793-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3149 Mountain View Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995013106",
            "country_code": "US",
            "telephone_number": "907-793-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30881 Eklutna Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Chugiak",
            "state": "AK",
            "postal_code": "995675166",
            "country_code": "US",
            "telephone_number": "907-793-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "JUDY",
        "middle_name": "NATHALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "207568",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AK",
            "license": "207568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.