Individual provider Active NPI

Kirsten Renee Pett, LCSW

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1487127726
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-36787 Issued in MT
Practice address
3212 1St Ave S
Billings, MT 59101-3814
Phone
(406) 245-2751
NPI assigned
Jan 9, 2019
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-36787 MT Primary

Addresses

Primary practice location

3212 1St Ave S
Billings, MT 59101-3814

Mailing address

813 Cottonwood Ave
Laurel, MT 59044-2256
Phone (406) 671-0021

Other names 1

  • Kirsten Renee Horn Former name

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
I20200319002530 MT Practitioner - Clinical Social Worker 2668809666 Practice locations: Billings, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1935 Ave B
Billings, MT 59102-2738
Phone (406) 530-4467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-36787MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kirsten Pett LCSW LLC CurrentSince Jan 30, 2020 Accepting new patients

Locations

1935 Avenue B
Billings, MT 59102
Phone (406) 530-4467

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

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1487127726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 COTTONWOOD AVE",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590442256",
            "telephone_number": "406-671-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 1ST AVE S",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591013814",
            "telephone_number": "406-245-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETT",
        "first_name": "KIRSTEN",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-36787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "HORN",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.