Individual provider Active NPI

Chelsey Fjeldheim, LCSW

  • Clinical Social Worker
  • Kalispell, MT
National Provider Identifier
1366935181
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-30593 Issued in MT
Practice address
359 N Main St
Kalispell, MT 59901-3902
Phone
(406) 350-2725
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-30593 MT Primary

Addresses

Primary practice location

359 N Main St
Kalispell, MT 59901-3902

Mailing address

215 Boon Rd
Somers, MT 59932-9721
Phone (406) 350-2725

Other practice location 1

306 Stoner Loop Rd
Lakeside, MT 59922-9539
Phone (406) 350-2725

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
BBH-LCSW-LIC-30593MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Courage Speaks Counseling, PLLC Current Accepting new patients
Sunburst Health LLC Clinical PastSince Aug 1, 2018 Accepting new patients

Locations

359 N Main St
Kalispell, MT 59901
Phone (406) 253-6427

Organizations & group practices 2

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1366935181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BOON RD",
            "city": "SOMERS",
            "state": "MT",
            "postal_code": "599329721",
            "telephone_number": "406-350-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N MAIN ST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013902",
            "telephone_number": "406-350-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Stoner Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Lakeside",
            "state": "MT",
            "postal_code": "599229539",
            "country_code": "US",
            "telephone_number": "406-350-2725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FJELDHEIM",
        "first_name": "CHELSEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-30593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.