Individual provider Active NPI

Irma Faye Skunkcap, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Harlem, MT
National Provider Identifier
1295943710
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
BBH-LAC-LIC-1149 Issued in MT
Practice address
656 Agency Main Street
Harlem, MT 59526
Phone
(406) 353-4175
Fax
(406) 353-4771
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-LAC-LIC-1149 MT Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1149-LAC MT

Addresses

Primary practice location

656 Agency Main Street
Harlem, MT 59526

Mailing address

P.O. Box 552
Browning, MT 59417-0552
Phone (406) 338-6330

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

LicenseStateTypeSpecialty
1149-LACMTMDAddiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-1149MTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1295943710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 552",
            "city": "BROWNING",
            "state": "MT",
            "postal_code": "594170552",
            "telephone_number": "406-338-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 AGENCY MAIN STREET",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "59526",
            "telephone_number": "406-353-4175",
            "fax_number": "406-353-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUNKCAP",
        "first_name": "IRMA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-1149",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1149-LAC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlem, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.