Ponderosa Healing Waters

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

PONDEROSA HEALING WATERS

Practice address

42064 Kennedy Dr
Ronan, MT 59864-9359

Phone

(406) 880-7305

NPI assigned

Feb 6, 2026

Organization subpart

No

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

Authorized official

Name

Angela Christine Evans, LAC, SWLCNPI 1659061786

Title

Provider

Phone

(406) 880-7305

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Christine Evans, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Ronan, MT
  • NPI 1659061786
  NPD Authorized official

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1124979083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598640548",
            "telephone_number": "406-880-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42064 KENNEDY DR",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598649359",
            "telephone_number": "406-880-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA HEALING WATERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "406-880-7305",
        "authorized_official_credential": "LAC, SWLC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.