Individual provider Active NPI

Jennifer K Hultberg Dye, M.ED. L.P.C.

  • Mental Health Counselor
  • Homer, AK
National Provider Identifier
1346741287
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
128345 Issued in AK
Practice address
1044 E End Rd Ste C
Homer, AK 99603-7205
Phone
(907) 235-1264
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 128345 AK Primary

Addresses

Primary practice location

1044 E End Rd Ste C
Homer, AK 99603-7205

Mailing address

PO Box 1559
Homer, AK 99603-1559
Phone (907) 235-2970

Other names 1

  • Jennifer K Dye Professional name

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
Master of Education

State licenses

LicenseStateTypeSpecialty
128345AKMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1346741287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996031559",
            "telephone_number": "907-235-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 E END RD STE C",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037205",
            "telephone_number": "907-235-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTBERG DYE",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "credential": "M.ED. L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "128345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DYE",
            "middle_name": "K",
            "credential": "M.ED. L.P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.