Jill Shaver, ACC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16383 Issued in MT

Practice address

285 2ND Avenue WN
Suite #100
Kalispell, MT 59901

Phone

(304) 273-0112

NPI assigned

Apr 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oxytocin

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kalispell, MT
  • NPI 1730659699

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1467986216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 2ND AVENUE WN",
            "address_2": "SUITE #100",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 2ND AVENUE WN",
            "address_2": "SUITE #100",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "304-273-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "JILL",
        "credential": "ACC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "16383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA BOARD OF BEHAVIORAL HEALTH",
            "identifier": "16383",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marci Shaffer, RD
• William Dwight Shaffer, MSCCC SLP
• Tanya Shah, MD
• Shawn Marie Shanahan, WHCNP
• Sheila Ann Shapiro, WHCNP
• Megan Shaver
• Kelly Anne Shaw, LCPC
• David G. Sheldon, M.D.
• Shelley Bruce Enterprises, Inc.
• Clayton Roland Shepard, D.D.S.

• Addiction (Substance Use Disorder) Counselor in Kalispell, MT
• Providers in Kalispell, 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 Apr 19, 2017; 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.