Individual provider Active NPI

Lyndsey Kellard

  • Mental Health Counselor
  • Chugiak, AK
National Provider Identifier
1669911772
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
30881 Eklutna Lake Rd
Chugiak, AK 99567-5166
Phone
(907) 793-3600
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Peer Specialist 175T00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

30881 Eklutna Lake Rd
Chugiak, AK 99567-5166

Mailing address

30881 Eklutna Lake Rd
Chugiak, AK 99567-5166

Other practice location 1

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

Other practice location 2

3600 San Jeronimo Dr
Anchorage, AK 99508-2870
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

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Inlet Tribal Council, Inc CurrentSince Mar 20, 2025 Accepting new patients
Cook Inlet Tribal Council, Inc Mental Health PastSince Mar 1, 2024 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 2

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1669911772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30881 EKLUTNA LAKE RD",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30881 EKLUTNA LAKE RD",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995675166",
            "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": "3600 San Jeronimo Dr",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995082870",
            "country_code": "US",
            "telephone_number": "907-793-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLARD",
        "first_name": "LYNDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chugiak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.