Christina Maureen Enderes, P.C.L.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

BBH-PCLC-LIC-29493 Issued in MT

Practice address

316 3Rd Ave E
Three Forks, MT 59752-9160

Phone

(406) 570-0754

NPI assigned

Jan 12, 2018

Last updated

Jan 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1083122956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "city": "THREE FORKS",
            "state": "MT",
            "postal_code": "597520409",
            "telephone_number": "406-570-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 3RD AVE E",
            "city": "THREE FORKS",
            "state": "MT",
            "postal_code": "597529160",
            "telephone_number": "406-570-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDERES",
        "first_name": "CHRISTINA",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "P.C.L.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-PCLC-LIC-29493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Three Forks, MT
• Providers in Three Forks, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.