NPIMap

Organization Active NPI

Emily Wish, LLC

  • Mental Health Counselor
  • Great Falls, MT
National Provider Identifier
1386009876
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12475 Issued in MT
Legal business name
EMILY WISH, LLC
Practice address
600 Central Ave
Great Falls, MT 59401-3179
Phone
(575) 749-2057
NPI assigned
Dec 28, 2015
Last updated
Dec 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Crystal Kirschman, MA, LCPC, NCCNPI 1932283835
Title
Therapist
Phone
(575) 749-2057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12475 MT Primary

Addresses

Primary practice location

600 Central Ave
Great Falls, MT 59401-3179

Mailing address

600 Central Ave
Great Falls, MT 59401-3179

Other identifiers 1

IdentifierTypeStateIssuer
09977325MedicaidNM

National Provider Directory

National Provider Directory

Locations

600 Central Ave
Great Falls, MT 59401
Phone (307) 277-2287

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1386009876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013179",
            "telephone_number": "575-749-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY WISH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "KIRSCHMAN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "575-749-2057",
        "authorized_official_credential": "MA, LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "12475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09977325",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.