Kintsugi Counseling PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KINTSUGI COUNSELING PLLC

Practice address

1601 2ND Ave N Ste 200a
Great Falls, MT 59401-3243

Phone

(406) 868-0228

Fax

(877) 828-5889

NPI assigned

Jun 23, 2021

Last updated

Jun 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amanda Marie Walker, LCPC

Title

Therapist

Phone

(406) 868-0228

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Amanda Rasey Walker Former legal business name

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Edward Hansen, LCSW

  • Clinical Social Worker
  • Great Falls, MT
  • NPI 1902538127
  NPD
• Amanda M Rasey, MACMHC; LCPC

  • Professional Counselor
  • Great Falls, MT
  • NPI 1790328573
  NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1356910210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 200A",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013243",
            "telephone_number": "406-868-0227",
            "fax_number": "877-828-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 200A",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013243",
            "telephone_number": "406-868-0228",
            "fax_number": "877-828-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINTSUGI COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "406-868-0228",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11111",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.amandawalkercounseling.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Information",
            "address_1": "1601 2nd Ave N Ste 200A",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594013243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amanda Rasey Walker",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Keri Kingland
• Stacy M Kingsland, MD
• Keely Kingsley
• Aaron Philip Kinnaman
• Thomas R Kinney, LCSW
• Valerie Katherine Kirby-Johnson, RN, BSN
• Crystal Monique Kirschman, MA, LCPC, NCC
• Kiss Method Wound Care & Wellness
• Jason Gary Kjono, P.A.C.
• Joseph Klatt

• Mental Health Counselor in Great Falls, MT
• Providers in Great Falls, 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 Jun 23, 2021; 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.