Individual provider Active NPI

Melissa Ann Woofter

  • Clinical Social Worker
  • Butte, MT
National Provider Identifier
1275912487
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57547 Issued in MT
Practice address
65 E Broadway St Ste 537
Butte, MT 59701-9305
Phone
(406) 240-9992
NPI assigned
May 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24562 MT
Addiction (Substance Use Disorder) Counselor 101YA0400X 4294 MT
Clinical Social Worker 1041C0700X 57547 MT Primary

Addresses

Primary practice location

65 E Broadway St Ste 537
Butte, MT 59701-9305

Mailing address

2825 Farragut Ave Apt E202
Butte, MT 59701-1303
Phone (406) 240-9992

Other practice location 1

1325 Wyoming St
Missoula, MT 59801-1725
Phone (406) 532-9832

Other identifiers 1

IdentifierTypeStateIssuer
MT-22-0002-0000MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL simplepractice.com Direct Little Sunflower Counseling, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002001481 MT Practitioner - Clinical Social Worker 4486008992 Practice locations: Butte, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

65 E Broadway St
Suite 526
Butte, MT 59701-9305
Phone (406) 240-9992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24562MTMDAddiction (Substance Use Disorder) Counselor
4294MTMDAddiction (Substance Use Disorder) Counselor
57547MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Little Sunflower Counseling, LLC PastSince Jan 17, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1275912487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 FARRAGUT AVE APT E202",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011303",
            "telephone_number": "406-240-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E BROADWAY ST STE 537",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019305",
            "telephone_number": "406-240-9992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Wyoming St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598011725",
            "country_code": "US",
            "telephone_number": "406-532-9832",
            "fax_number": "406-532-9832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOFTER",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "24562",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "4294",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "57547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MT-22-0002-0000",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice.com",
            "affiliation": "Y",
            "endpointDescription": "EHR",
            "affiliationName": "Little Sunflower Counseling, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "700 SW Higgins Ave Ste 107",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598031489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.