Individual provider Active NPI

Shaunda Wenger

  • Professional Counselor
  • Kalispell, MT
National Provider Identifier
1447558499
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC 1529 Issued in MT
Practice address
1035 1St Ave W Ste 210
Kalispell, MT 59901-5607
Phone
(406) 607-4938
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0182351 NM
Professional Counselor 101YP2500X LCPC 1529 MT Primary

Addresses

Primary practice location

1035 1St Ave W Ste 210
Kalispell, MT 59901-5607

Mailing address

PO Box 3788
Farmington, NM 87499-3788
Phone (406) 262-3885

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

State licenses

LicenseStateTypeSpecialty
LCPC 1529MTMDProfessional Counselor
0182351NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sensible Therapy and Wellness Professional CurrentSince Dec 24, 2023 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": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1447558499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3788",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874993788",
            "telephone_number": "406-262-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 1ST AVE W STE 210",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015607",
            "telephone_number": "406-607-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGER",
        "first_name": "SHAUNDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0182351",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "LCPC 1529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

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