Sean Patrick, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14251 Issued in MT

Practice address

40 2ND St E Ste 230
Kalispell, MT 59901-6114

Phone

(406) 823-0231

NPI assigned

Aug 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Evoke Changes LLC

  • Psychologist
  • Somers, MT
  • NPI 1316690852
  NPD Authorized official

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164770301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1371",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599031371",
            "telephone_number": "406-823-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 2ND ST E STE 230",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016114",
            "telephone_number": "406-823-0231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Anderson",
            "address_2": "Evoke Changes",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "59901",
            "country_code": "US",
            "telephone_number": "406-823-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "SEAN",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "14251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523464",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Parsons, MD
• Pamela A Parsons, APRN
• Blake M. Passmore, LCPC, M.ED
• Benjamin Oden Pate, PA
• Danielle Elise Patrick, PCLC
• Hilary Patterson, LCSW
• Kassandra L Patton, WHNP
• Virginia P Paulson, MS
• Cynthia Michelle Payne, M.D.
• Heather Peacock, PHARMD

• Mental Health Counselor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.