Active NPI
Penny Nord, LCPC
- Professional Counselor
- Missoula, MT
National Provider Identifier
1235296302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 825
- Practice address
- 126 E Broadway St
Suite 18
Missoula, MT 59802-4511 - Phone
- (406) 543-2220
- NPI assigned
- Jan 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 825 | MT | Primary |
Addresses
Primary practice location
126 E Broadway St
Suite 18
Missoula, MT 59802-4511
Mailing address
PO Box 222
Arlee, MT 59821-0222
Phone (406) 543-2220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251141 | Medicaid | MT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 825 | MT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1235296302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 222",
"city": "ARLEE",
"state": "MT",
"postal_code": "598210222",
"telephone_number": "406-543-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 E BROADWAY ST",
"address_2": "SUITE 18",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024511",
"telephone_number": "406-543-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORD",
"first_name": "PENNY",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251141",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.