Services & Programs

The Ninilchik Traditional Council provides health services in the Ninilchik area and is also a source of assistance and referrals to other medical facilities in Alaska. Health and well being are important tribal values and NTC encourages all people to improve or maintain their health of both body and mind. The principles of health and good medicine provide a strong foundation for personal achievements, community success, and cultural enrichment.

Use the tabs below to navigate between the programs and services our Health and Community department provides.

HIPAA Seal of Compliance Verified

Medical Clinic

Weight Loss


Health & Wellness Club

Youth Outreach

Elders Outreach

Behavioral Health

Medically Supported Weight Loss Program

Kristie Finkenbinder, FNP is now offering a primary care-based medical weight loss program, billable to most insurances.

Founded upon evidence-based medicine and focused on utilizing real food, this program offers practical solutions for both weight loss and continued maintenance. You will experience personalized help to achieve your health goals, guided by a professional, holistic approach.

Looking for More Information?

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Kristie Finkenbinder

Family Nurse Practitioner


Click below for NTC office and business locations, hours, and contact information.

About Our Medication Assisted Treatment (MAT) Program for Opioid & Alcohol Use Disorders

Ninilchik Community Clinic offers FDA- approved medication to assist with alcohol and opioid use disorder. We offer Naltrexone, Vivitrol, Suboxone, and Sublocade. 

We also offer case management to connect you to peer support, job services, counseling, and other services that you are in need of.

If you are interested or have questions about our program, please contact our MAT program coordinator using the contact information at the bottom of this page. 


Buprenorphine (Suboxone) is an FDA approved medication for the treatment of opiate addiction (addiction to heroin and prescription painkillers).  The Ninilchik Traditional Community Clinic offers an outpatient Buprenorphine clinic as an option for recovery from opioid addiction.  Buprenorphine, along with attending an addiction-based group, has shown to improve recovery from opioid addiction. Along with groups, we also offer opportunities to connect with job services, 12 step meetings other recovery programs, and the chance to piece your life together.  Suboxone is a partial opioid agonist.  It binds very strongly to the opioid receptors in your brain and body, which helps to prevent cravings for opiates.  It also blocks other opiates from binding to those receptors; so, that if you try to use other opiates they will not work (you cannot get high). 


Naltrexone is a medication that reverses the effects of opioids and is used primarily in the management of alcohol dependence and opioid dependence. It can be administered in a pill form or as a shot given every 28 days.  Naltrexone reduces the craving for alcohol which many alcohol dependent people experience when they quit drinking.  For those who are addicted to opioids, Naltrexone works by blocking the effects of drugs like heroin and cocaine in the brain. As an opioid receptor antagonist, Naltrexone simply blocks the normal reaction of the part of the brain that produces the feeling of pleasure when opioids are taken.  Naltrexone is used to help people who have already stopped using opioids or alcohol to maintain abstinence. 

MAT Program Resources

Click on the links below to be directed to each resource.

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Annette Hubbard

MAT Case Manager & Behavioral Health Aide

Kathleen Totemoff

MAT Project Director

Sue Fallon

Chemical Dependency Counselor

Lukas Ficklin

Licensed Professional Counselor (LPC)

Click below for NTC office and business locations, hours, and contact information.

About Our Community Medical Clinic

The NTC Community Clinic is the Ninilchik Tribe’s Indian Health Service provider and any IHS eligible person or family can be seen at the clinic regardless of tribal affiliation. Our mission statement is: Committed to providing compassionate, culturally appropriate, quality healthcare to all people.

The clinic provides basic and primary care to the public, and is a convenient and professional facility for medical visits, especially for those who cannot regularly drive the long distances needed to see their usual medical providers for everyday care.

Clinic Services

NTC Community Clinic offers a wide variety of medical services as a full family practice that welcomes all patients.  From Medicare Annual Wellness Visits to cold laser therapy, our friendly and professional medical staff provide dedicated and quality healthcare for you and your entire family.

Alternative Pain Management

Our providers offer a variety of alternative treatment options for those suffering from and injury or chronic pain.  Options include:

  • Referrals to Physical Therapy
  • Osteopathic Manipulation
Physical Examinations

Whether you need pre-employment, Merchant Mariner, Medicare, or general wellness exams, NTC Community Clinic is able to accommodate your needs. Drug screens and lab work are also available.

Laboratory Services

Daily phlebotomy services and simple in-house tests are available. Tests we are unable to offer onsite are shipped daily to the ANMC lab or LabCorp.

*All labs require both an appointment and an order from a provider.  If you do not have a lab order, please call for an appointment with one of our providers.

Medication Assisted Treatment

Ninilchik Community Clinic offers FDA- approved medication to assist with alcohol and opioid use disorder.
Learn more about the program here.

Weight Reduction Assistance

WRAP is the only medically supervised weight-loss program of its kind on the Kenai Peninsula.
Learn more about the program here.

New Patients

Please arrive with plenty of time to fill out all registration paperwork before your scheduled appointment or use the button below to print out the paperwork and fill it out before you arrive.

What to bring to your first appointment:
  • Current Insurance Card(s)
  • Medicare Card
  • Current Medicaid Sticker
  • Tribal ID Card or CIB (if an IHS Beneficiary)
  • Medication List

Current Patients

Please arrive no later than 5 minutes prior to your appointment. If you are unable to make an appointment, please notify us at least 24 hours before your scheduled appointment. If you are more than 15 minutes late to an appointment without giving us advance notice, you will be considered a no-show and your appointment will be cancelled.


Walk-Ins are welcome, but please note: unless your condition is deemed an emergency, our scheduled appointments take precedence. Calling and scheduling appointments in advance is the best way to ensure you are seen in a timely manner.


Telemedicine is a digital tool that allows us to care for our patients remotely when our provider and patient are not physically present with each other. Modern technology has enabled us to consult patients by using HIPAA compliant video-conferencing tools.

Please continue to call the Clinic for scheduling your appointments.

Have questions? Here’s more detailed information:

Follow these instructions to join your appointment:
1. Use the telemedicine card below and click “Enter Waiting Room” at least 5 minutes prior to your appointment.
2. Enter your name and click “Check-In”
3. That’s it! Now just wait and your provider will be with you shortly.

Finance & Billing

The NTC Community Clinic is the Ninilchik Tribe’s Indian Health Service provider and any IHS eligible person or family can be seen at the clinic, regardless of tribal affiliation or blood quantum.  

Our clinic also provides basic, emergency, and primary care to the public.  We accept over 60 kinds of insurance including: Medicare, Medicaid, VA, and Tricare, as well as numerous private insurances.  The NTC Community Clinic is a preferred provider for patients enrolled with Blue Cross Blue Shield of Alaska. 

Uninsured and underinsured patients receive a 10% discount for clinic visits paid in full at the time of service.

For any questions regarding patient statements from the NTC Community Clinic, please contact our Patient Account Specialist using the contact information posted at the bottom of this page.

Patient Portal & Online Bill Pay

The NTC Community Clinic is pleased to offer our patients 24/7 access to their medical records free of charge.

Message Your Provider or Case Manager

Have a question regarding your health? Want to avoid call wait times or phone tag?

Message your doctor or case manager – just like email but secure!


Whether you need a pre-employment, DOT, CDL, Coast Guard, insurance, wellness, or school physical, NTC Community Clinic is able to accommodate your needs. Drug screens and lab work are also available.


Pay invoices and see pending insurance submissions in My Account and Billing.  Ask a Billing Question is also available on the Billing tab.

Renew Medications

Save time by renewing your prescription medications when it’s convenient for you.

Click on My Health, and then Medications. Locate the medication you wish to renew, and under Options, click on the pill bottle icon. Feel free to leave your doctor a comment regarding this medication, then hit Send.

Your doctor or care team will contact you when your prescription has successfully been renewed.

Be sure to pick up your medication from the pharmacy you’ve indicated in your portal account.

View Lab Results

Avoid waiting for a phone call from your healthcare provider, and view all normal test and lab results the moment they are available to you.

Click My Health, and then the Results tab. Locate the lab work you’re interested in seeing the results of under the Value or Range columns. You may also be able to view details of your lab results by clicking on the document icon under the Options column.

Having trouble accessing your account?

Contact us below!

Need to create an account? 

 Contact us below and use this handout to help you work with us in creating your account.

Community Clinic Medical Providers

Dr. Robin Holmes
Board Certified Family Medicine Physician
Click for Bio

Dr. Holmes is a board-certified family physician with special interest in women’s health and LGBTQ+ care. Originally from Chicago where she completed medical school, she completed residency training in Anchorage and worked in Fairbanks for several years prior to moving to the Peninsula. She has experience with a wide variety of clients in multiple settings and is especially excited about caring for entire families from babies to great-grandparents! She also has personal interests in food as medicine, supporting her colleagues who specialize in weight loss programs and functional medicine. Dr. Holmes has experience in prenatal and obstetrics as well as minor office procedures in addition to full-spectrum primary care.

Dr. Holmes is fluent in Spanish, both conversational and medical, and welcomes Spanish-speaking patients of all ages.

In her spare time she enjoys walking her dogs on the beach, riding her bike around town, and cooking vegetables from her garden.

Dr. Sarah Spencer
Doctor of Osteopathy (DO)
Click for Bio

Dr. Spencer is board-certified physician in both family and addiction medicine. She runs the Medication assisted treatment (MAT) program for patients with opioid and alcohol use disorders. This program utilizes medication along with social support to help patients reduce the harmful use of alcohol and drugs. Telemedicine services are available to help patients in remote areas access needed care.
Dr. Spencer volunteers with the Southern Kenai Peninsula Opioid Task Force, the Homer Exchange syringe access program, and provides naloxone (Narcan) overdose training through the State of Alaska’s Project HOPE. In addition, she works as a treatment consultant and physician trainer with the State of Alaska to improve access to opioid addiction treatment across the state.
She lives in Anchor Point with her family and enjoys gardening, berry picking, cooking, and baking in her spare time.

Dr. Tamar Marcotte
Doctor of Osteopathy (DO)
Dr. Tim Scheffel
Medical Director
Click for Bio

Dr. Scheffel is a board certified Family Practice Physician. As medical director for the clinic he brings 40 years of broad medical experience and has served the Alaska Tribal health system since 1998.
Dr. Scheffel’s role and passion is to work with the clinic staff to create the best possible patient experience through safe, effective, and personalized medical care.

Looking for More Information?

We're here to help!

Jennifer Day

Tribal Health Support Manager

(907) 567-3370 x3124

Click below for NTC office and business locations, hours, and contact information.

Elders Outreach Program

The Elders Outreach Program is an organization of the Ninilchik Traditional Council whose purpose is providing services to enrolled tribal elders, 55+, in our tribal boundaries that enhance quality of life, integrity of heritage and emblematic of respect and dignity, continuously promoting independent living while simultaneously capturing the history and traditions of our culture.


  • Alaska Native/American Indian
  • Aged 55 and over
  • Live within the Ninilchik tribal boundaries or neighboring Cook Inlet areas

Note: These limits are only a tool to help establish our goals. We will always be mindful to offer services to the Elders in our community.

Program Services
Elders Luncheons

The Elders Outreach Program serves lunch at noon out of the Subsistence Building every Monday.

 This includes NTC HOLIDAYS that the main office, clinic and health club may be closed for, however, the luncheon is still provided on those holidays.

As a friendly reminder, the luncheon exists to serve as a social space for Enrolled Tribal Elders to gather, share & visit. Elders are encouraged if they’d like to bring a guest, family or be accompanied by a caregiver to do so, there is a suggested donation box at the back for this purpose. While it is a provided luncheon for Tribal Elders to attend, it also serves many homebound Elders who cannot drive or have other needs that prevent them from attending. This luncheon is for the enrolled Tribal Elders and ask we are mindful of others who not able to attend who look forward to their luncheon food delivered to their home.

Home Visits

This is a key function of the Elders Outreach Program. It embodies the essential one-on-one need of our Elders. This program is set in place to help assess home health, home safety, prevent isolation and assess whether more needs must be met to help Elders live independently. The program also gives relief by providing options of personal respite and offers individual time for questions and concerns. These visits are available for home, hospital, nursing home and assisted living homes.


This is to provide a sense of independence while cultivating community and personal needs. This service is available at any time for any Elder based on functionality. Should you need someone to take you to an appointment, assist you with grocery shopping, pick up medications, this would be the time to call. Our program has set up a dependable vehicle that can be utilized for these purposes. We do however ask that those seeking these services give at least 24 hours advance notice. You will receive a returned confirmation call.

Travel & Outings

The Elders Outreach Program welcomes Tribal Elders interest in day trips, travel, local and historical excursions, to share some social space with one another while seeing the changes that have taken place on the Kenai Peninsula. If you are interested in attending events such as NYO, AFN, Historical events or cultural/traditional events offered around the Peninsula, more than likely others are as well- just call or email me and I will be happy to suggest how we can attend these events collectively. 

Classes and Contests

My office is open and welcomes your input to make this program grow and thrive, we have hosted teaching classes on Perok, net mending, building nets, canning jams and jellies as well offering the space and ability to learn how to butcher moose, salmon and other relevant foods. If you have a local, cultural or traditional talent and would like to offer a class to share your craft, please let me know anytime.

Other classes and competitions we have supported include Kulich, Akutaq, Perok, Knot Classes, Net Mending, Picked Fish (the salting process, how to preserve and then the pickling process), Balik (the striping, knot tying techniques, brining, hanging and smoking process), Jelly and Jam (particularly high bush and low bush cranberries and Fireweed).We encourage active participation from the youth and strongly urge Elders to come offer their experience, advice, knowledge and techniques for all these activities. If you have a cultural or traditional skill, please call or email. We look forward to the Elders sharing a bit of their time and knowledge with us!

Care Giving Support

This program is to offer information and assistance in achieving the best possible care for our Elders, to give families and Elders a chance to gain local and out of state research options for future health or financial issues. Our program should reassure you that we also advocate for our Elders and you are not alone in maintaining justification for your loved one.
*Information available upon communication
*Counseling referral options available
*Research and visits based on Elder’s needs

Additional Assistance

As always, my office is open and other than providing luncheons, I help those who need prescription pickups, rides for groceries and local rides to and from the clinic or post office. Should you need this, please call to schedule. I also help with paperwork that can be daunting or sometimes seem excessive seeing as how many times State and government forms need repetitive filing, if this is something you need or maybe you want greater assistance, I am able to help with references for those requests as well. Connecting you to the right resources is the goal. Let me know if you have questions or are needing some help.

Elders Outreach Program Advocate

A person, who pleads in favor of, defends an agreement for, supports on all causes unless deemed unsafe to an Elder.

An Elders Advocate helps with:

  • Doctors’ Appointments
  • Filling out paperwork
  • Establishing VA Services
  • Elders Luncheons
  • Home Visits/Social Visits
  • Work Related Visits
  • Appointments
  • Financial referrals
  • Personal referrals
  • Home services
  • Overall Wellness

Listed are set guidelines to ensure positive assistance:

  • Prevent personal and outward harm by communication of limited abilities
  • Identify concern for mobility and state of mind
  • Provide Luncheons to prevent isolation and to incite a sense of connection
Goals and Objectives
  • Help provide a sense of community for Elders and prevent loneliness
  • Provide transportation to and from Community and Tribal events
  • Provide options to attend cultural activities inclusive of interaction of Youth and Elders
  • Provide information regarding Elders services
  • Provide assistance and information regarding medical needs
  • Ensure educational programs are utilized and any profits such as fish, moose, jams, etcetera are allocated properly
  • Help support independent living
    Provide a sense of culture and heritage for the youth by recording the Elders wisdom

These goals are the first of many through assembling the foundation of this program. There may be other purposes and functions that you, as our Elders believe should be set.

How can you support the program?

If you would like to be a part of future cultural harvest opportunities or have ideas for ways to continue to spread the bounty or social events, please don’t hesitate to call our Elders Outreach Program Coordinator using the contact information posted below. Previous and future events include trips to Polly Creek for razor clams, Educational Fishery for salmon, local tour to SeaLife Center in Seward, hooligan fishing in Kenai River, and local moose butchery.

I am constantly looking for stories, photographs, lineage information and anything showing relevance to fishing, hunting, clamming, trapping, clothing/jewelry development, if you have information of your family member doing any of this and would like to help support our ability to document how our ancestors have created our imprint here in Ninilchik, please call or email anytime.

Additional Resources for Elders

Finding the care and services you need can sometimes be the most time consuming. These contact numbers and websites may make it easier for your needs. Click below to find additional local resources for elders in the community.

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Tiffany Stonecipher

Elders Outreach Program Coordinator

Click below for NTC office and business locations, hours, and contact information.

About Our Youth Outreach Program

We organize a variety of events and activities for the youth in our community. Watch the front page for announcements and scheduled events.

Looking for More Information?

We're here to help!

Rick Dunaway

Native Connections Program Manager

Katie Matthews

Youth Outreach Program Coordinator

Danielle Self

Native Connections Program Assistant

Click below for NTC office and business locations, hours, and contact information.

About Our Behavioral Health Program

The Ninilchik Traditional Council Behavioral Health Program’s mission is to provide the highest quality of care in meeting the client’s self-determined goals for treatment, by providing integrated mental health and substance abuse treatment in a supportive, compassionate, culturally competent, and strengths-focused treatment setting.

We are a State of Alaska certified Alcohol Safety Action Program (ASAP) provider and offer ASAP assessments and outpatient treatment. NTC Behavioral Health is nationally accredited with the Commission of Accreditation for Rehabilitation Facilities (CARF).

For more information on the Behavioral Health Program please reach out to us using the contact information found at the bottom of this page.


NTC’s licensed Behavioral Health Clinician provides assessments, outpatient counseling for adults, children, couples, families and groups., and also provides education, community outreach prevention and intervention, and referrals to other services.

NTC Behavioral Health is certified ASAP court referrals and we welcome appointments to be made for this service.  

  • NTC Behavioral Health is open to everyone.

NTC Behavioral Health accepts Medicaid and a variety of commercial insurances.
*Sliding Fee Scale Discount is available to eligible recipients.

Alcohol & Substance Abuse Services

Alcohol and substance abuse treatment services are provided to individuals with chemical dependency problems. Services are also provided to address codependency, ‘Adult Children of Alcoholics’ issues, and family dynamics to individuals and families who have been impacted by a loved one’s substance abuse.

Mental & Emotional Health Services

If you are having difficulty coping with stress, life’s problems, or are experiencing a sense of unhappiness, seeing a behavioral health clinician can help. The Behavioral Health Clinician will work collaboratively with you to help you find a balance in your life using a cognitive behavior and strengths-based approach while providing a safe, welcoming, and confidential environment for you to work on your self-identified goals for treatment.

Patient Grievance Procedure

The NTC Community Clinic/Behavioral Health Services provides a Patient Grievance Procedure for patients and clients to express complaints, resolve disputes, or bring attention to incidents, conditions, practices and/or policies of NTCCC/BHS that may violate patient/client rights. An explanation of the procedure, the steps of the process, and full information regarding the procedure are outlined in the document “Patient Grievance Procedure,” which can be accessed below. Patients/clients wishing to file a grievance or complaint may click on the “Request Grievance Form” button below.

If you have a grievance please request and submit a form using the contact information posted below.

Looking for More Information?

We're here to help!

Lukas Ficklin

Licensed Professional Counselor (LPC)


Laura Ullmann

Patient Advocate Case Manager


Click below for NTC office and business locations, hours, and contact information.

About Our Health & Wellness Club

The Ninilchik Health & Wellness Club is a full-service gym and fitness center located in the heart of Ninilchik. (Access off Sterling Highway across from the Oil Well Road intersection, on driveway left of Ninilchik Salt-Water Charters.) Our mission is for everyone to have the opportunity to exercise and be healthy. We offer a clean, welcoming environment with affordable monthly rates and absolutely no contracts.

Open Gym Hours

Monday – Friday: 7am – 8pm
Saturday: 8am – 2pm
Sundays: Closed

We are closed on all government holidays

Memberships & Rates

Memberships are available in a variety of options to suit your needs and goals. We work hard to make this a clean, welcoming environment for people of all fitness levels.

Tribal waivers and scholarships available

Standard Rates

$0 Sign-up fee
$35 Monthly
$100 Quarterly
$380 Annually (1 month free!)
+$20 per month per dependent*

Student/Senior Rates*

$0 Sign-up fee
$30 Monthly
$85 Quarterly
$330 Annually (1 month free!)
+$20 per month per dependent*


$7 per visit
$60 for 10 visits

*Dependent is spouse or child 12-18 years of age
*Senior is 55 or older
*Day Pass punch cards are non-transferable

Facility and Amenities

The club offers a wide variety of services for all community members. We are continuously improving the Club with new equipment and more amenities to better serve you. 


Our gym features state-of-the-art equipment, including brands such as Life Fitness, Precor, Landice, Octane, and Hoist. Treadmills, ellipticals, bikes, and a weight section fill our gym. 

Check out our new Precor AMT (Adaptive Motion Trainer). The stride length and height adapts to your stride, allowing you to use it as a stair climber or even run on it with zero impact.

Personal Training

Tammy Z. is available to help you reach your fitness goals. Whether you want to be able to run a marathon or be able to walk for half a mile, Tammy can help!

Call Tammy to book a session or consultation! 907-252-5115


$7 per visit
$60 for 10 visit

Showers & Towel Service

We have two private restrooms with showers here at the Club. Showers are available for Gym users. 

We are not a shower facility.  

We also offer towels to our members. Sweat towels are available at no cost, and bath towels are available for a fee of $1 per use.


Elise is a licensed massage therapist available for both table and chair massage. Relax, Renew, & Rejuvenate.

Call Elise to book a massage! 907-252-9544


Our members can take a mini vacay in our tanning bed. We have a Sunvision 24SF bed that features a face tanner and new bulbs.

Not a member but want to tan? No problem. We offer special tanning-only membership packages. 

Tans are $6 each (up to 20 minutes). Buy 10 get one free.

Yoga Classes

Yoga classes are provided at no additional cost and led by our very own certified yoga instructor, Elise Spofford. Take a look below at our club events to see upcoming classes. Click on the class your’re interest in to view the description.

Tuesdays: 10:15-11:15am {Hatha with Elise}
5:15-6:15pm {Vinyasa with Elise}

Wednesdays: 10:15-11:30am {Restorative with Elise}

Thursdays:  9:30 – 10:00am {Chair with Elise}
10:15-11:15am {Hatha with Elise}
5:15-6:15pm {Find your Flow with Kc}

*This schedule subject to change. Please contact the Health & Wellness Club for the current schedule.

The Club Shop

The Club Shop offers a variety of T-shirts, sweatshirts, hoodies, and other athletic apparel marked with the club’s logo for sale.

Show your support in style!

Looking for More Information?

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Brie Wallace


Elise Spofford

Certified Yoga Instructor

Kayci Hanson

Certified Yoga Instructor

Tammy Zweiacher

Personal Trainer

Terri Leman

HWC Attendant

Click below for NTC office and business locations, hours, and contact information.