Active NPI
Paige Burnham, LCPC
- Mental Health Counselor
- Saint Regis, MT
National Provider Identifier
1073992186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SWP-LCPC-LIC-12073
- Practice address
- 90 Tiger St
Saint Regis, MT 59866-9757 - Phone
- (406) 649-2311
- NPI assigned
- May 21, 2015
- Sex
- Female
- 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 | SWP-LCPC-LIC-12073 | MT | Primary |
Addresses
Primary practice location
90 Tiger St
Saint Regis, MT 59866-9757
Mailing address
4206 Expressway Apt 7
Missoula, MT 59808-1448
Phone (406) 649-2311
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 |
|---|---|---|---|
| SWP-LCPC-LIC-12073 | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432166400000",
"number": "1073992186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4206 EXPRESSWAY APT 7",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081448",
"telephone_number": "406-649-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 TIGER ST",
"city": "SAINT REGIS",
"state": "MT",
"postal_code": "598669757",
"telephone_number": "406-649-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNHAM",
"first_name": "PAIGE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-21",
"last_updated": "2015-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "SWP-LCPC-LIC-12073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Regis, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.