Walter James Smith, MA, LCPC, NCC
Individual provider Active NPI Professional Counselor · Red Lodge, MT
NPI 1013037464 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1013037464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LCPC 40 (MT)
- Practice address
- 4 Harnish Lane
Red Lodge, MT 59068-1992 - Phone
- (406) 671-6289
- Fax
- (406) 446-2114
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC 40 | MT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC 40 | MT | Yes |
Addresses
Primary practice location
4 Harnish Lane
Red Lodge, MT 59068-1992
Mailing address
PO Box 1992
Red Lodge, MT 59068-1992
Phone (406) 672-6289
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0252297 | Medicaid | MT | |
| 07547-0 | Other | MT | MT BLUECROSS BLUESHIELD |
Other names
- Mr. W. James Smith
Other providers in Red Lodge, MT
- Kelly A Reynolds
- Mark Eric Robertson
- SCL Health Medical Group - Billings LLC
- Rebecca Anne Sharar
- Danielle Marie Sindelar
- St. Vincent Healthcare
- The Willows
- Daniel Lawrence Upton
- Jalyn Brennae Walker
- Lynn Kathleen Zavala
All providers in Red Lodge, MT · Professional Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.