Tyresa Sepia Burkhead, CDC I
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Fairbanks, AK
NPI 1821653635 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1821653635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 4667 (AK)
- Practice address
- 605 Hughes Ave
Fairbanks, AK 99701-7539 - Phone
- (907) 452-6251
- Fax
- (907) 456-4849
- NPI assigned
- May 7, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4667 | AK | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4667 | AK | Yes |
Addresses
Primary practice location
605 Hughes Ave
Fairbanks, AK 99701-7539
Mailing address
605 Hughes Ave
Fairbanks, AK 99701-7539
Phone (907) 452-6251
Other providers in Fairbanks, AK
- Rachel Lynn Burglin
- Joy Anne Burk
- Danielle Burke
- Brittany Burket
- Rebekah L. Burket
- Sara Burley
- Casey Burnett
- Reilly S Burrell
- Anne Burtness
- Elizabeth Burton
All providers in Fairbanks, AK · Addiction (Substance Use Disorder) Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.