Prairie Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRAIRIE COUNSELING PLLC

Practice address

20469 Kenilworth Rd
Loma, MT 59460-7716

Phone

(406) 270-7372

Fax

(406) 219-3369

NPI assigned

Jul 8, 2021

Last updated

Jul 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dianna Keane, LCPCNPI 1003051046

Title

Provider

Phone

(406) 270-7372

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dianna L. Keane, M.S., L.C.P.C.

  • Professional Counselor
  • Loma, MT
  • NPI 1003051046
  NPD (past) Authorized official

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1013588185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20469 KENILWORTH RD",
            "city": "LOMA",
            "state": "MT",
            "postal_code": "594607716",
            "telephone_number": "406-270-7372",
            "fax_number": "406-219-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20469 KENILWORTH RD",
            "city": "LOMA",
            "state": "MT",
            "postal_code": "594607716",
            "telephone_number": "406-270-7372",
            "fax_number": "406-219-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "KEANE",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "406-270-7372",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003051046",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianna L. Keane, M.S., L.C.P.C.

• Clinical Social Worker in Loma, MT
• Providers in Loma, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.