Individual provider Active NPI

Anna M Siderius, SWLC

  • Mental Health Counselor
  • Kalispell, MT
National Provider Identifier
1336063874
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-SWLC-LIC-81331 Issued in MT
Practice address
50 Robocker LN
Kalispell, MT 59901-8292
Phone
(406) 260-1626
NPI assigned
Aug 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BBH-SWLC-LIC-81331 MT Primary

Addresses

Primary practice location

50 Robocker LN
Kalispell, MT 59901-8292

Mailing address

1935 3Rd Ave E
Kalispell, MT 59901-5780
Phone (406) 607-4900

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

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1336063874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 3RD AVE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015780",
            "telephone_number": "406-607-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROBOCKER LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599018292",
            "telephone_number": "406-260-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDERIUS",
        "first_name": "ANNA",
        "middle_name": "M",
        "credential": "SWLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-SWLC-LIC-81331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.