Taylor Michael Dalstrom, PCLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

BBH-PCLC-LIC-42763 Issued in MT

Practice address

2282 US Highway 93 S
Kalispell, MT 59901-8499

Phone

(406) 890-2570

NPI assigned

Apr 18, 2024

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1306691860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 PONDEROSA LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016835",
            "telephone_number": "770-584-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 US HIGHWAY 93 S",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599018499",
            "telephone_number": "406-890-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALSTROM",
        "first_name": "TAYLOR",
        "middle_name": "MICHAEL",
        "credential": "PCLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-PCLC-LIC-42763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.