Organization Active NPI

Full Circle Counseling Solutions

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1356642904
Registry record updated Nov 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
964 Issued in MT
Legal business name
FULL CIRCLE COUNSELING SOLUTIONS
Practice address
1501 North Ave W
Missoula, MT 59801-5503
Phone
(406) 529-9516
Fax
(406) 523-1616
NPI assigned
Nov 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2010

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

Authorized official

Name
Ms. Katherine Lynn Gillispie, LCSW
Title
Mental Health Therapist
Phone
(406) 529-9516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 964 MT Primary

Addresses

Primary practice location

1501 North Ave W
Missoula, MT 59801-5503

Mailing address

1501 North Ave W
Missoula, MT 59801-5503
Phone (406) 529-9516

National Provider Directory

National Provider Directory

Locations

1501 North Ave W
Missoula, MT 59801
Phone (406) 493-0143

NPI Registry JSON

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

{
    "created_epoch": "1289606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289606400000",
    "number": "1356642904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NORTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015503",
            "telephone_number": "406-529-9516",
            "fax_number": "406-523-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NORTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015503",
            "telephone_number": "406-529-9516",
            "fax_number": "406-523-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE COUNSELING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-13",
        "last_updated": "2010-11-13",
        "status": "A",
        "authorized_official_last_name": "GILLISPIE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "406-529-9516",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2010; 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.