Individual provider Active NPI

Michael Stemborski, LCPC, LAC

  • Mental Health Counselor
  • Columbia Falls, MT
National Provider Identifier
1194762401
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1103 Issued in MT
Practice address
1611 N Fork Rd
Suite 100
Columbia Falls, MT 59912-9410
Phone
(406) 892-8830
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1183 MT
Mental Health Counselor 101YM0800X 1103 MT Primary

Addresses

Primary practice location

1611 N Fork Rd
Suite 100
Columbia Falls, MT 59912-9410

Mailing address

1611 N Fork Rd
Suite 100
Columbia Falls, MT 59912-9410
Phone (406) 892-8830

Other identifiers 1

IdentifierTypeStateIssuer
742670OtherMTBLUE CROSS

Other names 1

  • Mick Stemborski Other name

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
I20240604003307 MT Practitioner - Mental Health Counselor 3870035967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1183MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hestia in-Home Support LLC CurrentSince Apr 17, 2024 Accepting new patients

Locations

445 Main St
Ste 17
Kalispell, MT 59901

700 SW Higgins Ave
Ste 102
Missoula, MT 59803
Phone (406) 540-3402

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1194762401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 N FORK RD",
            "address_2": "SUITE 100",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599129410",
            "telephone_number": "406-892-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 N FORK RD",
            "address_2": "SUITE 100",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599129410",
            "telephone_number": "406-892-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMBORSKI",
        "first_name": "MICHAEL",
        "credential": "LCPC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1183",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "1103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "742670",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICK",
            "last_name": "STEMBORSKI",
            "credential": "LCSW, LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia Falls, MT

Sources for this page

Verify at the official NPI Registry.