Organization Active NPI

Glacier Counseling and Animal Assisted Therapy

  • Professional Counselor
  • Hamilton, MT
National Provider Identifier
1396202461
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GLACIER COUNSELING AND ANIMAL ASSISTED THERAPY
Practice address
127 W. Main Street
Signal Square Suit a
Hamilton, MT 59840
Phone
(509) 630-3107
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Kimber Lee Smith, LCPC
Title
Owner
Phone
(509) 630-3107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

127 W. Main Street
Signal Square Suit a
Hamilton, MT 59840

Mailing address

2035 Poppy LN
Corvallis, MT 59828-9629
Phone (509) 630-3107

National Provider Directory

National Provider Directory

Locations

127 W Main St
Ste A
Hamilton, MT 59840
Phone (406) 360-4292

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1396202461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 POPPY LN",
            "city": "CORVALLIS",
            "state": "MT",
            "postal_code": "598289629",
            "telephone_number": "509-630-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W. MAIN STREET",
            "address_2": "SIGNAL SQUARE SUIT A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "59840",
            "telephone_number": "509-630-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER COUNSELING AND ANIMAL ASSISTED THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-630-3107",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.