Active NPI
Jennifer Gilliard, PH.D.
- Professional Counselor
- Butte, MT
National Provider Identifier
1104095835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 550
- Practice address
- 125 W Granite St
Suite 208
Butte, MT 59701-9215 - Phone
- (406) 782-2393
- NPI assigned
- Feb 27, 2008
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 550 | MT | Primary |
Addresses
Primary practice location
125 W Granite St
Suite 208
Butte, MT 59701-9215
Mailing address
125 W Granite St
Suite 208
Butte, MT 59701-9215
Phone (406) 723-5403
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 550 | MT | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1104095835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 W GRANITE ST",
"address_2": "SUITE 208",
"city": "BUTTE",
"state": "MT",
"postal_code": "597019215",
"telephone_number": "406-723-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W GRANITE ST",
"address_2": "SUITE 208",
"city": "BUTTE",
"state": "MT",
"postal_code": "597019215",
"telephone_number": "406-782-2393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIARD",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "550",
"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 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.