Active NPI
Susan Weaselhead, LCPC
- Professional Counselor
- Polson, MT
National Provider Identifier
1306296249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16220
- Practice address
- 6 13TH Ave E
Polson, MT 59860-5315 - Phone
- (406) 883-5680
- Fax
- (406) 883-8910
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16220 | MT | Primary |
| Professional Counselor | 101YP2500X | 16620 | MT |
Addresses
Primary practice location
6 13TH Ave E
Polson, MT 59860-5315
Mailing address
PO Box 336
St Ignatius, MT 59865-0336
Phone (406) 529-0582
Other practice location 1
314 1st St E
#205
Polson, MT 59860-2148
Phone (406) 529-0582
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240221001822 | MT | Practitioner - Mental Health Counselor | 6305280066 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16620 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Credena Health LLC | Current | Accepting new patients | |
| Providence St Joseph Medical Center | Current | Accepting new patients |
Locations
6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Polson, MT
- NPI 1609104165
-
- Rural Health Clinic/Center
- Ronan, MT
- NPI 1730417452
-
- Critical Access Hospital
- Polson, MT
- NPI 1821184888
-
- Critical Access Hospital
- Polson, MT
- NPI 1992853881
-
- Community/Retail Pharmacy
- Polson, MT
- NPI 1164809778
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence St Joseph Medical Center
Practice addresses (Care Compare)
6 13TH Ave E
Polson, MT 59860-5315
Phone (406) 883-5377
63351 US Hwy 93
Ronan, MT 59864-2702
Phone (406) 676-5680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1306296249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 336",
"city": "ST IGNATIUS",
"state": "MT",
"postal_code": "598650336",
"telephone_number": "406-529-0582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 13TH AVE E",
"city": "POLSON",
"state": "MT",
"postal_code": "598605315",
"telephone_number": "406-883-5680",
"fax_number": "406-883-8910"
}
],
"practiceLocations": [
{
"address_1": "314 1st St E",
"address_2": "#205",
"address_purpose": "LOCATION",
"city": "Polson",
"state": "MT",
"postal_code": "598602148",
"country_code": "US",
"telephone_number": "406-529-0582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEASELHEAD",
"first_name": "SUSAN",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "16220",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "16620",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Polson, MT
- Kaelen Christine Wall, RN
- Walmart Inc.
- Kathleen M Watkins, B.A. LAC
- Waves of Change Counseling, LLC
- Waxwing Psychotherapy Limited Liability Partnership
- Christopher James Weber, LCSW
- Erika Ann Weber, LCSW
- Western Montana Area 6 Agency on Aging
- Western Montana Clinic PC
- Western Montana Mental Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.