Masc LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MASC LLC

Practice address

491 Shaw Gulch Lane
Superior, MT 59872-0214

Phone

(406) 304-6371

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle S McCracken, CPC-A, COC-A, BHPSS

Title

Business Manager

Phone

(406) 304-6782

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stewart Andrew McCracken, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Superior, MT
  • NPI 1578823589
  NPD

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1265066500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598720124",
            "telephone_number": "406-304-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 SHAW GULCH LANE",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598720214",
            "telephone_number": "406-304-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "406-304-6782",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC-A, COC-A, BHPSS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://stewart-mccracken.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "client portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "mail",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mail",
            "address_1": "491 Shaw Gulch Lane",
            "city": "Superior",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598720124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Breck Howard, MD
• Sierra Ireland
• Ayme Lynne Krogstad, LCPC
• Carissa Kuhl, LCPC
• Brayden Michael Leake, PHARM.D.
• Linea Maxwell, LCSW
• Stewart Andrew McCracken, LAC
• Lawana V McGuffey, ACLC, SWLC, MSW
• Jenny Lynn Miller, LAC-BBH-LAC-LIC-4969
• Mineral Drug, Inc (Mineral Pharmacy)

• Addiction (Substance Use Disorder) Counselor in Superior, MT
• Providers in Superior, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.