Timothy Gillis, LPC, LPCS, MAC, CDCI
NPI 1154639763ActiveIndividual· Counselor, Professional· Kenai, AK
Counselor, Professional (LPC, LPCS, MAC, CDCI) in Kenai, Alaska, licensed in AK, with an NPI issued in September 2010.
Overview
| NPI | 1154639763 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, LPCS, MAC, CDCI |
| Sole proprietor | Yes |
| NPI issued | Sep 16, 2010 |
| Last updated in NPPES | Jan 30, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 624 | AK |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 508906 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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