Individual provider Active NPI

Kelli J Kerpa, BS, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Helena, MT
National Provider Identifier
1386809358
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1234 Issued in MT
Practice address
111 N Last Chance Gulch
Suite 2a Arcade Building
Helena, MT 59601-4125
Phone
(406) 443-1990
Fax
(406) 443-1391
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1234 MT Primary

Addresses

Primary practice location

111 N Last Chance Gulch
Suite 2a Arcade Building
Helena, MT 59601-4125

Mailing address

111 N Last Chance Gulch
Suite 2a Arcade Building
Helena, MT 59601-4125
Phone (406) 443-1990

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)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
1234MTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine M Flynn PSYD PLLC PastSince Oct 22, 2016 Accepting new patients

Organizations & group practices 1

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1386809358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N LAST CHANCE GULCH",
            "address_2": "SUITE 2A ARCADE BUILDING",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014125",
            "telephone_number": "406-443-1990",
            "fax_number": "406-443-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N LAST CHANCE GULCH",
            "address_2": "SUITE 2A ARCADE BUILDING",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014125",
            "telephone_number": "406-443-1990",
            "fax_number": "406-443-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERPA",
        "first_name": "KELLI",
        "middle_name": "J",
        "credential": "BS, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.