Individual provider Active NPI

Tonya M Carpenter

  • Clinical Social Worker
  • Butte, MT
National Provider Identifier
1306364153
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-42645 Issued in MT
Practice address
3002 Mammoth Dr
Butte, MT 59701-8008
Phone
(406) 560-7724
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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-35105 MT
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-42645 MT Primary

Addresses

Primary practice location

3002 Mammoth Dr
Butte, MT 59701-8008

Mailing address

3002 Mammoth Dr
Butte, MT 59701-8008
Phone (406) 560-7724

Other practice location 1

100 Main St Ste 3A
Shelby, MT 59474-1906
Phone (406) 434-7141

Other identifiers 3

IdentifierTypeStateIssuer
35105OtherMTLAC
42645OtherMTLCSW LICENSE
633437MedicaidMT

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
I20200311002033 MT Practitioner - Clinical Social Worker 2769712827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LAC-LIC-35105MTMDAddiction (Substance Use Disorder) Counselor
BBH-LCSW-LIC-42645MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aware Inc Addiction (Substance Use Disorder) CurrentSince Dec 15, 2025 Accepting new patients

Locations

205 E Park Ave
Anaconda, MT 59711
Phone (406) 563-8117

3002 Mammoth Dr
Butte, MT 59701
Phone (406) 560-7724

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1306364153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 MAMMOTH DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597018008",
            "telephone_number": "406-560-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 MAMMOTH DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597018008",
            "telephone_number": "406-560-7724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Main St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "MT",
            "postal_code": "594741906",
            "country_code": "US",
            "telephone_number": "406-434-7141",
            "fax_number": "406-278-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "TONYA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-35105",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-42645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAC",
            "identifier": "35105",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "42645",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633437",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.