Faith Ann Tallwhiteman, BBH-LAC-LIC-30311

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BBH-LAC-LIC-30311 Issued in MT

Practice address

1320 N 30TH St.
Billings, MT 59101

Phone

(406) 534-4558

NPI assigned

Feb 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Miss Faith Ann Payne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kickin It Enterprises

  • Clinical Social Worker
  • Polson, MT
  • NPI 1841749249
  NPD

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1407215577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 GOLDEN BLVD",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591021245",
            "telephone_number": "406-670-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N 30TH ST.",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "59101",
            "telephone_number": "406-534-4558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42080 4th Ave E",
            "address_purpose": "LOCATION",
            "city": "Pablo",
            "state": "MT",
            "postal_code": "59855",
            "country_code": "US",
            "telephone_number": "406-676-3390 x7714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598605328",
            "country_code": "US",
            "telephone_number": "406-883-1718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Eaglefeathers Dr",
            "address_purpose": "LOCATION",
            "city": "Lame Deer",
            "state": "MT",
            "postal_code": "59043",
            "country_code": "US",
            "telephone_number": "406-477-6724 x4914",
            "fax_number": "406-477-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLWHITEMAN",
        "first_name": "FAITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "BBH-LAC-LIC-30311",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-ACLC-LIC-13362",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-32305",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-30311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407215577",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAITH",
            "last_name": "PAYNE",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• T J Miller, MD, PC
• T.J. Miller, MD, PC
• April Taber, PT
• Nicole Tackett
• Philip Glenn Tallman, MD
• Lacy Renee Tangedahl, FNP
• Tyler R Tangedahl
• Brittney Tangen
• Darus Tanner, RN
• Lionel Edward Tapia, MD

• Addiction (Substance Use Disorder) Counselor in Billings, MT
• Providers in Billings, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.