Ponderosa Healing Waters

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PONDEROSA HEALING WATERS

Practice address

109 1St Ave
St Ignatius, MT 59865-7748

Phone

(406) 880-7305

NPI assigned

Dec 24, 2025

Last updated

Apr 28, 2026By 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

Angela Christine EvansNPI 1659061786

Title

Lac, SWLC, Owner

Phone

(406) 880-7305

Specialties & licenses 4

Addresses

Practitioners 1

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.

• Angela Christine Evans, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Ronan, MT
  • NPI 1659061786

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1366308140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598640548",
            "telephone_number": "406-880-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 1ST AVE",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598657748",
            "telephone_number": "406-880-7305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42064 Kennedy Dr",
            "address_purpose": "LOCATION",
            "city": "Ronan",
            "state": "MT",
            "postal_code": "598649359",
            "country_code": "US",
            "telephone_number": "406-880-7305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PONDEROSA HEALING WATERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-24",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "LAC, SWLC, OWNER",
        "authorized_official_telephone_number": "406-880-7305"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ann Nielson-Salois, PSYCHOLOGIST
• Starlite Y Nightgun, RN
• Kelsea Pelletier
• Ann Marie Penturf, DDS
• Garry Eugene Pitts, DDS
• Providence Health & Services Mt
• Kristen Pyke-Pierce
• Seth Marwa Quackenbush, LCSW
• Recovery Centers of Montana LLC (Recovery Centers of Montana Haven)
• Geofrey William Rohrlach

• Clinical Social Worker in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.