Individual provider Active NPI

Kerry S. Maier, M.A., LCPC

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1154469419
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
885 LCP Issued in MT
Practice address
126 E Broadway St Ste 10
Missoula, MT 59802-4566
Phone
(406) 239-5494
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

126 E Broadway St
Suite 10
Missoula, MT 59802-4566
Phone (406) 239-5494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401002248 MT Practitioner - Mental Health Counselor 9931547676 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
885 LCPMTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Red Willow Counseling, PC Professional CurrentSince Dec 28, 2023 Accepting new patients

Locations

126 E Broadway St
Ste 10
Missoula, MT 59802
Phone (406) 239-5494

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 885 LCP MT Primary

Addresses

NPPES NPI Registry

Primary practice location

126 E Broadway St Ste 10
Missoula, MT 59802-4566

Mailing address

1070 Runyon Dr
Alberton, MT 59820-9412
Phone (406) 722-4572

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2023.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1154469419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 RUNYON DR",
            "city": "ALBERTON",
            "state": "MT",
            "postal_code": "598209412",
            "telephone_number": "406-722-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E BROADWAY ST STE 10",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024566",
            "telephone_number": "406-239-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIER",
        "first_name": "KERRY",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "M.A., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "885 LCP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.