Individual provider Active NPI

Melissa Thayne, LCSW

  • Social Worker
  • Hamilton, MT
National Provider Identifier
1467515932
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
39783 Issued in MT
Practice address
274 Old Corvallis Rd Unit Y
Hamilton, MT 59840-3213
Phone
(801) 756-3664
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3496723501 UT
Social Worker 104100000X 39783 MT Primary

Addresses

Primary practice location

274 Old Corvallis Rd Unit Y
Hamilton, MT 59840-3213

Mailing address

PO Box 581
Darby, MT 59829-0581
Phone (801) 427-2607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216002036 MT Practitioner - Clinical Social Worker 1254426455 Practice locations: Hamilton, MT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39783MTMDSocial Worker
3496723501UTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thayne Counseling and Wellness CurrentSince Jan 1, 2021 Accepting new patients
Alpine Counseling Center Past Accepting new patients

Organizations & group practices 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1467515932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581",
            "city": "DARBY",
            "state": "MT",
            "postal_code": "598290581",
            "telephone_number": "801-427-2607",
            "fax_number": "801-756-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 OLD CORVALLIS RD UNIT Y",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403213",
            "telephone_number": "801-756-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYNE",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "3496723501",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MT",
            "license": "39783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

Verify at the official NPI Registry.