Active NPI
John Gregory Tilton, BA MED LCPC NCC
- Professional Counselor
- Great Falls, MT
National Provider Identifier
1245324664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 882
- Practice address
- 3017 9TH St NE
Great Falls, MT 59404 - Phone
- (406) 453-4356
- Fax
- (406) 453-6030
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 882 | MT | Primary |
Addresses
Primary practice location
3017 9TH St NE
Great Falls, MT 59404
Mailing address
3017 9TH St NE
Great Falls, MT 59404
Phone (406) 453-4356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0252705 | 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
- Credentials
- Bachelor of Arts, Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245324664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 9TH ST NE",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59404",
"telephone_number": "406-453-4356",
"fax_number": "406-453-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3017 9TH ST NE",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59404",
"telephone_number": "406-453-4356",
"fax_number": "406-453-6030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILTON",
"first_name": "JOHN",
"middle_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "BA MED LCPC NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0252705",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.