Organization Active NPI

Katherine L. Gillispie, LCSW, Bcba

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1093259137
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
964 Issued in MT
Legal business name
KATHERINE L. GILLISPIE, LCSW, BCBA
Practice address
415 North Higgins Avenue
Suite 111a
Missoula, MT 59802-9926
Phone
(406) 529-9516
Fax
(888) 978-6176
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Ms. Katherine L. Gillispie, LCSW, BCBA
Title
Owner
Phone
(406) 529-9516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 964 MT Primary

Addresses

Primary practice location

415 North Higgins Avenue
Suite 111a
Missoula, MT 59802-9926

Mailing address

PO Box 5814
Missoula, MT 59806-5814
Phone (406) 529-9516

National Provider Directory

National Provider Directory

Locations

210 N Higgins Ave
Ste 337
Missoula, MT 59802
Phone (406) 529-7776

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1093259137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5814",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598065814",
            "telephone_number": "406-529-9516",
            "fax_number": "888-978-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NORTH HIGGINS AVENUE",
            "address_2": "SUITE 111A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598029926",
            "telephone_number": "406-529-9516",
            "fax_number": "888-978-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE L. GILLISPIE, LCSW, BCBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "GILLISPIE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-529-9516",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, BCBA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.