Active NPI
Kerrie K. Wheeler, LCPC
- Professional Counselor
- Helena, MT
National Provider Identifier
1073641965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1107
- Practice address
- 1503 Gallatin Ave
Helena, MT 59601-3014 - Phone
- (406) 449-7162
- Fax
- (406) 442-6809
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1107 | MT | Primary |
Addresses
Primary practice location
1503 Gallatin Ave
Helena, MT 59601-3014
Mailing address
1503 Gallatin Ave
Helena, MT 59601-3014
Phone (406) 449-7162
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 522970 | Medicaid | MT | |
| 741490 | Other | MT | BLUECROSS BLUESHIELD |
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 |
|---|---|---|---|
| 1107 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073641965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 GALLATIN AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596013014",
"telephone_number": "406-449-7162",
"fax_number": "406-442-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 GALLATIN AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596013014",
"telephone_number": "406-449-7162",
"fax_number": "406-442-6809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "KERRIE",
"middle_name": "K.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "1107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522970",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "741490",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.