Active NPI
Michael A Emerson, PH.D.
- Mental Health Counselor
- Montana City, MT
National Provider Identifier
1013986348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 470 LCPC
- Practice address
- 11 Friendship LN
Suite 202
Montana City, MT 59634-9804 - Phone
- (406) 495-0956
- Fax
- (406) 442-8090
- NPI assigned
- Mar 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 470 LCPC | MT | Primary |
Addresses
Primary practice location
11 Friendship LN
Suite 202
Montana City, MT 59634-9804
Mailing address
11 Friendship LN
Suite 202
Montana City, MT 59634-9804
Phone (406) 495-0956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74953 | Other | MT | BC/BS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 470 LCPC | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013986348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 FRIENDSHIP LN",
"address_2": "SUITE 202",
"city": "MONTANA CITY",
"state": "MT",
"postal_code": "596349804",
"telephone_number": "406-495-0956",
"fax_number": "406-442-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 FRIENDSHIP LN",
"address_2": "SUITE 202",
"city": "MONTANA CITY",
"state": "MT",
"postal_code": "596349804",
"telephone_number": "406-495-0956",
"fax_number": "406-442-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "470 LCPC",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NUMBER",
"identifier": "74953",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montana City, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.