Individual provider Active NPI

Regina Pate-Terry, LCSW.LAC

  • Clinical Social Worker
  • Butte, MT
National Provider Identifier
1356522189
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
896 Issued in MT
Practice address
3475 Monroe Ave
Suite 103
Butte, MT 59701-3869
Phone
(406) 494-2130
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 896 MT Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1059 MT

Addresses

Primary practice location

3475 Monroe Ave
Suite 103
Butte, MT 59701-3869

Mailing address

3475 Monroe Ave
Suite 103
Butte, MT 59701-3869
Phone (406) 494-2130

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1059MTMDAddiction (Substance Use Disorder) Counselor
896MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Professional Counseling Past Accepting new patients

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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1356522189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 MONROE AVE",
            "address_2": "SUITE 103",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013869",
            "telephone_number": "406-494-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 MONROE AVE",
            "address_2": "SUITE 103",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013869",
            "telephone_number": "406-494-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE-TERRY",
        "first_name": "REGINA",
        "credential": "LCSW.LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "896",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.