Angela Otto, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16845 Issued in MT

Practice address

431 1St Ave W
Kalispell, MT 59901-4959

Phone

(406) 607-4971

NPI assigned

Apr 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Recovery Centers of Montana LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia Falls, MT
  • NPI 1851906895

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Dickerson Counseling, L.L.C.

  • Addiction (Substance Use Disorder) Counselor
  • Kalispell, MT
  • NPI 1205035433
  NPD (past)

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1003270810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 N MERIDIAN RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013095",
            "telephone_number": "406-257-6240",
            "fax_number": "406-752-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 1ST AVE W",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014959",
            "telephone_number": "406-607-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "ANGELA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "16845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Courtney Ortiz, NNP-BC
• Joshua Jennings Osborne, PHARMD
• Steven Lee Osborne, LMT
• Jeffrey Emil Oslund, LAC
• OT-Integrations, LLC
• Sylvia A Owen, MD
• Oxytocin
• P Sharise Clostio, PLLC
• Pain and Neuropathy Centers, LLC
• James E. Paisley, DDS

• Addiction (Substance Use Disorder) Counselor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.