Organization Active NPI

Kootenai Counseling & Consulting

  • Mental Health Counselor
  • Libby, MT
National Provider Identifier
1265519458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
279 Issued in MT
Legal business name
KOOTENAI COUNSELING & CONSULTING
Practice address
912 Main Ave
Libby, MT 59923-1820
Phone
(406) 293-4644
Fax
(406) 293-7644
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. C. Peter Volkmann, LCPC
Title
Pyschologist Owner
Phone
(406) 293-4644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 279 MT Primary

Addresses

Primary practice location

912 Main Ave
Libby, MT 59923-1820

Mailing address

912 Main Ave
Libby, MT 59923-1820
Phone (406) 293-4644

Other identifiers 2

IdentifierTypeStateIssuer
74501OtherMTBC/BS PROVIDER NUMBER
257142MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265519458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 MAIN AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599231820",
            "telephone_number": "406-293-4644",
            "fax_number": "406-293-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 MAIN AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599231820",
            "telephone_number": "406-293-4644",
            "fax_number": "406-293-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOTENAI COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOLKMANN",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PYSCHOLOGIST OWNER",
        "authorized_official_telephone_number": "406-293-4644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "74501",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257142",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.