Shawn Michael Weymouth, LMFT
Individual provider Active NPI Marriage & Family Therapist · Kalispell, MT
NPI 1396015202 · NPPES record last updated Jun 10, 2019
Key facts
- NPI
- 1396015202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- BBH-LMFT-LIC-35207 (MT)
- Practice address
- 1605 Danielson Rd
Kalispell, MT 59901 - Phone
- (406) 758-8100
- NPI assigned
- Jan 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LMFT-LIC-35207 | MT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Ranch Inc. | Past | Accepting new patients | |
| Summit Ranch Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | BBH-LMFT-LIC-35207 | MT | Yes |
Addresses
Primary practice location
1605 Danielson Rd
Kalispell, MT 59901
Mailing address
944 Kingfisher LN
Kalispell, MT 59901-1313
Phone (208) 477-3184
Other practice location 1
10950 Liberty Rd
Sweet, ID 83670-5031
Phone (208) 584-3054
Other providers in Kalispell, MT
- West Valley School District 1
- Western Montana Clinic PC
- Western Montana Mental Health Center
- Mark Williams Weston
- Charles Wettach
- Laura Wharton
- Marcus Steven Wheeler
- Teresa Joann Whitbey
- Whole Health Healing LLC
- Robert L Wiedemann
All providers in Kalispell, MT · Marriage & Family Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.