Lana J Pettit, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3242 Issued in MT

Practice address

1312 N Meridian Rd
Kalispell, MT 59901-3095

Phone

(406) 756-6453

Fax

(406) 756-8546

NPI assigned

Jul 11, 2013

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

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.

• Flathead Valley Chemical Dependency Clinic Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kalispell, MT
  • NPI 1225106842
  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1487095097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7115",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599040115",
            "telephone_number": "406-756-6453",
            "fax_number": "406-756-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 N MERIDIAN RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013095",
            "telephone_number": "406-756-6453",
            "fax_number": "406-756-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "LANA",
        "middle_name": "J",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "3242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Lynn Petersen, OT
• Dennis Lee Peterson, M.D.
• Evelyn Peterson, MD
• Becky Ann Petrashek, RN
• Jaime Petro, DPT
• Phebe Titus Lime, PHD, PLLC
• Mallory Phillips, MSW
• Robert J. Piersall, M.S.W.
• Laura Pierson, FNP-C
• Pinnacle Chiropractic, PLLC

• 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 Jul 11, 2013; 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.