Kandace Konola

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

BBH-LCPC-LIC-16222 Issued in MT

Practice address

205 E Park Ave
Anaconda, MT 59711-2340

Phone

(406) 563-8117

Fax

(406) 563-5956

NPI assigned

Feb 18, 2016

Last updated

Feb 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aware Inc

  • Community/Behavioral Health Agency
  • Anaconda, MT
  • NPI 1427003862
  NPD (past)

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1487013405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112340",
            "telephone_number": "406-563-8117",
            "fax_number": "406-563-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112340",
            "telephone_number": "406-563-8117",
            "fax_number": "406-563-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOLA",
        "first_name": "KANDACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-16222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert John Kelley
• Ingrid Kelly, OTR
• David M Kidder, DO
• Lindsey King, PSY.D.
• Craig Kolpin
• Lisa Rose Krzan, PHARMD
• Kelsie Elizabeth Larson, RD
• Deonna Laurie, LMT
• Megan Joy Lehman, FNP
• Leonard E. Vainio & David G. Vainio PC (American Eyecare)

• Mental Health Counselor in Anaconda, MT
• Providers in Anaconda, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.