Active NPI
Full Circle Counseling Solutions
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1356642904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 964
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.