Kimberly Kilkenny

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

947 Issued in AK

Practice address

8012 Stewart Mountain Dr
Eagle River, AK 99577-9013

Phone

(907) 772-3332

Fax

(888) 858-8850

NPI assigned

Feb 18, 2010

Last updated

May 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• City of Valdez

  dba Providence Valdez Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valdez, AK
  • NPI 1962525097
  NPD
• Providence Health & Services Washington

  dba Providence Kodiak Island Counseling Center

  • Community/Behavioral Health Agency
  • Kodiak, AK
  • NPI 1477563344

  Clinical

  NPD
• Petersburg Mental Health Services

  • Social Worker
  • Petersburg, AK
  • NPI 1922443969
  NPD (past)

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1861714842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 CORDOVA ST STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032745",
            "telephone_number": "907-600-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 STEWART MOUNTAIN DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779013",
            "telephone_number": "907-772-3332",
            "fax_number": "888-858-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Artic Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995034580",
            "country_code": "US",
            "telephone_number": "907-600-3425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Cordova St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995032745",
            "country_code": "US",
            "telephone_number": "907-279-9640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILKENNY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "947",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Suzanne Keller, M.S., CF-SLP
• Kaylen Kelley, LPC
• Amanda Linn Kempainen, DMD
• Chelsea Victoria Kercher
• Abigail Lynn Kessinger, PT, DPT
• Tia Kime
• Cathy Jean King, PHD ,LPC,CDCS
• Kelby Kinney
• Whitney Ann Kinsey
• Jacklyn Kirk

• Mental Health Counselor in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.