Mandi Shaff, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

42815 Issued in MT

Practice address

1941 Harrison Ave Ste B
Butte, MT 59701-5499

Phone

(406) 221-7435

NPI assigned

Mar 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mandi Boston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• White Buffalo Healing Lodge

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Butte, MT
  • NPI 1740980291

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1194425637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 HARRISON AVE STE B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597015499",
            "telephone_number": "406-221-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 HARRISON AVE STE B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597015499",
            "telephone_number": "406-221-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFF",
        "first_name": "MANDI",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "42815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDI",
            "last_name": "BOSTON",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Senior Solutions Inc
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• Lisa K Sessions, MD
• Katrine Ann Setterstrom, LCPC
• Debra Lynn Seymour, COSMETOLOGIST
• Rashmikant Bachubhai Shah, MD
• Randall J Shannon, MD
• David G Shapnick, M.D.
• Taisha McWilliams Sharon, PA-C
• Aaron Michael Shearman, D.D.S.

• Addiction (Substance Use Disorder) Counselor in Butte, MT
• Providers in Butte, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.