Individual provider Active NPI

Trista Elaine Vonada

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1497065155
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5513 Issued in MT
Practice address
1900 N Last Chance Gulch Ste 9
Helena, MT 59601-0798
Phone
(406) 951-2693
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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
Clinical Social Worker 1041C0700X 5513 MT Primary

Addresses

Primary practice location

1900 N Last Chance Gulch Ste 9
Helena, MT 59601-0798

Mailing address

3455 Birkland Dr
Helena, MT 59602-9196
Phone (406) 951-2693

Other practice location 1

205 E Park Street
Anaconda, MT 59711-2340
Phone (406) 563-8117

Other practice location 2

3455 Birkland Dr
Helena, MT 59602-9196
Phone (406) 951-2693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5513MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trusted Vision LLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

1900 N Last Chance Gulch
Ste 9
Helena, MT 59601
Phone (406) 951-2693

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1497065155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 BIRKLAND DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596029196",
            "telephone_number": "406-951-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N LAST CHANCE GULCH STE 9",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596010798",
            "telephone_number": "406-951-2693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E Park Street",
            "address_purpose": "LOCATION",
            "city": "Anaconda",
            "state": "MT",
            "postal_code": "597112340",
            "country_code": "US",
            "telephone_number": "406-563-8117",
            "fax_number": "406-563-5956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 Birkland Dr",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596029196",
            "country_code": "US",
            "telephone_number": "406-951-2693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VONADA",
        "first_name": "TRISTA",
        "middle_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "5513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.