Individual provider Active NPI

Mary Louise Watson

  • Professional Counselor
  • Butte, MT
National Provider Identifier
1083864359
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1383 Issued in MT
Practice address
600 Dewey Blvd Ste B
Butte, MT 59701-3214
Phone
(406) 782-4778
Fax
(406) 782-1318
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 135 MT
Professional Counselor 101YP2500X 1383 MT Primary

Addresses

Primary practice location

600 Dewey Blvd Ste B
Butte, MT 59701-3214

Mailing address

600 Dewey Blvd Ste B
Butte, MT 59701-3214
Phone (406) 782-4778

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

LicenseStateTypeSpecialty
135MTMDMarriage & Family Therapist
1383MTMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Management Associates, LLC Professional CurrentSince Feb 18, 2024 Accepting new patients
Compass Professional Services, LLC Past Accepting new patients

Locations

600 Dewey Blvd
Ste B
Butte, MT 59701
Phone (406) 782-4778

2510 Continental Dr
Butte, MT 59701
Phone (406) 782-4778

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1083864359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DEWEY BLVD STE B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013214",
            "telephone_number": "406-782-4778",
            "fax_number": "406-782-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DEWEY BLVD STE B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013214",
            "telephone_number": "406-782-4778",
            "fax_number": "406-782-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "135",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.