Active NPI
Michael Arthur Petaja, LCPC
- Professional Counselor
- Helena, MT
National Provider Identifier
1255468302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1231-LCPC
- Practice address
- 1085 Helena Ave
Helena, MT 59601-3558 - Phone
- (406) 461-0551
- Fax
- (406) 442-6935
- NPI assigned
- Feb 27, 2007
- Last updated
- Dec 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1231-LCPC | MT | |
| Professional Counselor | 101YP2500X | 1231-LCPC | MT | Primary |
Addresses
Primary practice location
1085 Helena Ave
Helena, MT 59601-3558
Mailing address
2 Pinecone Draw
Clancy, MT 59634-9755
Phone (406) 461-0551
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 |
|---|---|---|---|
| 1231-LCPC | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1255468302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PINECONE DRAW",
"city": "CLANCY",
"state": "MT",
"postal_code": "596349755",
"telephone_number": "406-461-0551",
"fax_number": "406-442-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 HELENA AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596013558",
"telephone_number": "406-461-0551",
"fax_number": "406-442-6935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETAJA",
"first_name": "MICHAEL",
"middle_name": "ARTHUR",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "1231-LCPC",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "1231-LCPC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
- Pediatrix Occupational Therapy for Kids, LLC
- Penny Lynn Wertenberger
- Perceptions Mental Health LLC
- Performance Injury Care & Sports Medicine, Inc.
- Katherine Carol Perrigo, PCLC
- Aaron Lee Peters, PA-C
- Cortnie Reign Peters, PHARMD
- Kyla Jordan Peters, PHARMD
- Kyla Renee Peterson, PT, DPT, OCS
- Julie A Petre, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.