Active NPI
Mary Kathryn Fahlgren, LCPC
- Mental Health Counselor
- Glasgow, MT
National Provider Identifier
1255401576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1160
- Practice address
- 316 1St Aly N
Glasgow, MT 59230-1817 - Phone
- (406) 228-8686
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 9, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1160 | MT | Primary |
Addresses
Primary practice location
316 1St Aly N
Glasgow, MT 59230-1817
Mailing address
625 4TH Ave N
Glasgow, MT 59230-1729
Phone (406) 228-8922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000256530 | 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 |
|---|---|---|---|
| 1160 | MT | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1255401576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 4TH AVE N",
"city": "GLASGOW",
"state": "MT",
"postal_code": "592301729",
"telephone_number": "406-228-8922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 1ST ALY N",
"city": "GLASGOW",
"state": "MT",
"postal_code": "592301817",
"telephone_number": "406-228-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHLGREN",
"first_name": "MARY",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "1160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000256530",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glasgow, MT
- Anthony M Colacino, M.D.
- Robert Collins, MD
- County of Valley (Valley County Health Department)
- County of Valley, School Dist 1 (Glasgow School District 1A)
- Andrew Fahlgren, MD
- Stacey Fletcher Fast, APRN, PMHNP-BC, DNP
- Michael J Fay, M.D.
- Gerry Eugene Fink, CRNA, MS
- Frances Mahon Deaconess Hospital (Deaconess Radiology Service)
- Frances Mahon Deaconess Hospital (Glasgow Clinic Inc)
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.