Individual provider Active NPI

Kristina Pritchard, LCSW

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1306185475
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2191 Issued in MT
Practice address
3330 Ptarmigan LN
Helena, MT 59602-0521
Phone
(406) 457-4180
NPI assigned
Feb 8, 2013
Reactivated
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2191 MT Primary

Addresses

Primary practice location

3330 Ptarmigan LN
Helena, MT 59602-0521

Mailing address

PO Box 6369
Helena, MT 59604-6369
Phone (406) 447-2823

Other practice location 1

2550 E Broadway St
Helena, MT 59601-4905
Phone (406) 495-6975

Other practice location 2

2550 E Broadway St
Helena, MT 59601-4905
Phone (406) 457-4180

Other identifiers 1

IdentifierTypeStateIssuer
7770377MedicaidMT

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
I20180315000167 MT Practitioner - Clinical Social Worker 8325300155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

535 Saddle Dr
Helena, MT 59601-5634
Phone (406) 459-3410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2191MTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Counseling of Montana Inc. CurrentSince Mar 1, 2020 Accepting new patients

Locations

535 Saddle Dr
Helena, MT 59601
Phone (406) 302-1333

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": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1306185475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6369",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596046369",
            "telephone_number": "406-447-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PTARMIGAN LN",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020521",
            "telephone_number": "406-457-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596014905",
            "country_code": "US",
            "telephone_number": "406-495-6975",
            "fax_number": "406-495-6995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596014905",
            "country_code": "US",
            "telephone_number": "406-457-4180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "KRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "deactivation_date": "2020-01-20",
        "reactivation_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "2191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7770377",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.