Active NPI
Calvin Gordon Mann, LCPC
- Mental Health Counselor
- Billings, MT
National Provider Identifier
1063604585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 764
- Practice address
- 1006 Mary St
Billings, MT 59105-4144 - Phone
- (406) 238-0424
- Fax
- (406) 494-1724
- NPI assigned
- Aug 17, 2007
- Last updated
- Aug 17, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 764 | MT | Primary |
Addresses
Primary practice location
1006 Mary St
Billings, MT 59105-4144
Mailing address
1006 Mary St
Billings, MT 59105-4144
Phone (406) 238-0424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 764 | Other | MT | STATE OF MONTANA LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 764 | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1063604585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 MARY ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591054144",
"telephone_number": "406-238-0424",
"fax_number": "406-494-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 MARY ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591054144",
"telephone_number": "406-238-0424",
"fax_number": "406-494-1724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "CALVIN",
"middle_name": "GORDON",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MONTANA LICENSE",
"identifier": "764",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.