Individual provider Active NPI

Keith Leslie Trafton, LCPC, LAC

  • Professional Counselor
  • Helena, MT
National Provider Identifier
1235229089
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
109 Issued in MT
Practice address
2001 11TH Ave Ste 3
Helena, MT 59601-4808
Phone
(406) 513-1037
NPI assigned
Oct 13, 2006
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 109 MT Primary

Addresses

Primary practice location

2001 11TH Ave Ste 3
Helena, MT 59601-4808

Mailing address

2101 5TH Ave
Helena, MT 59601-4817

Other identifiers 1

IdentifierTypeStateIssuer
0000076330OtherMTBLUE CROSS-SHIELD OF MONTANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
109MTMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1235229089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 5TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 11TH AVE STE 3",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014808",
            "telephone_number": "406-513-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAFTON",
        "first_name": "KEITH",
        "middle_name": "LESLIE",
        "credential": "LCPC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONTANA",
            "identifier": "0000076330",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.