Tamera D Klapwyk
Individual provider Active NPI Professional Counselor · Corvallis, MT
NPI 1437525136 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1437525136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 12241 (MT)
- Practice address
- 1020 Main Street Box #702
Corvallis, MT 59828 - Phone
- (406) 361-0110
- Fax
- (406) 573-1080
- NPI assigned
- Aug 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Olive Branch Counseling Inc
Practice addresses (Care Compare)
1020 Main St
Suite 702
Corvallis, MT 59828-8514
Phone (406) 361-0110
1321 Eastside Hwy
Corvallis, MT 59828-9696
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240604003887 | MT | Practitioner - Mental Health Counselor | 0042651416 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12241 | MT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olive Branch Counseling Inc | Mental Health | Current |
Accepting new patients |
| Sapphire Chiropractic,PLLC | Past |
Accepting new patients |
Locations
310 N 1st St
Hamilton, MT 59840
Phone (406) 213-8939
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12241 | MT | |
| Professional Counselor | 101YP2500X | 12241 | MT | Yes |
Addresses
Primary practice location
1020 Main Street Box #702
Corvallis, MT 59828
Mailing address
1321 Eastside Hwy
Corvallis, MT 59828-9696
Phone (406) 366-0855
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891781787 | Medicaid | MT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tklapwyk@olivebranchcounselor.com | Direct |
Other providers in Corvallis, MT
- Morgan Hollis
- Lindsay Chapman Huls
- Jeffrey Ernest Humphrey
- John D Hutchison
- Leah Jessop
- Stephanie Lewis
- Christina Nicole Limbaugh
- Linda Macy
- Marcus Daly Memorial Hospital Corporation
- Brett Gordon Mildenberger
All providers in Corvallis, MT · Professional Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.