Individual provider Active NPI

Shayna Chupein, LCSW

  • Clinical Social Worker
  • Great Falls, MT
National Provider Identifier
1497308571
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-42683 Issued in MT
Practice address
941 Avenue E NW
Great Falls, MT 59404-1741
Phone
(406) 491-7771
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 33000898A IN
Clinical Social Worker 1041C0700X BBH-SWLC-LIC-38639 MT
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-42683 MT Primary

Addresses

Primary practice location

941 Avenue E NW
Great Falls, MT 59404-1741

Mailing address

941 Avenue E NW
Great Falls, MT 59404-1741
Phone (406) 491-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ID, AK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211209002689 MT Practitioner - Clinical Social Worker 9830589613 Reassigns benefits to 1 organization
I20240103003915 ID Practitioner - Clinical Social Worker 9830589613 Reassigns benefits to 1 organization
I20240221001371 AK Practitioner - Clinical Social Worker 9830589613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frontier Psychiatry PLLCGroup PAC ID 7315378874, 33 clinicians

Practice addresses (Care Compare)

1601 Lewis Ave
Suite 102
Billings, MT 59102-4182
Phone (406) 200-8471

721 Depot Dr
Anchorage, AK 99501-1615
Phone (406) 200-8471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33000898AINMDClinical Social Worker
BBH-LCSW-LIC-42683MTMDClinical Social Worker
BBH-SWLC-LIC-38639MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Psychiatry, PLLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

721 Depot Dr
Anchorage, AK 99501
Phone (201) 293-7689

27 N 27th St
Ste 21C
Billings, MT 59101
Phone (406) 957-7924

1601 Lewis Ave
Ste 102
Billings, MT 59102
Phone (406) 690-2171

27 N 27th St
Ste 21E
Billings, MT 59101
Phone (406) 957-7924

Interoperability endpoints

  • Direct secure messaging: shayna@direct.mtbscc.org
  • Direct secure messaging: shayna.chupein.1@29777.direct.athenahealth.com

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1497308571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 AVENUE E NW",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041741",
            "telephone_number": "406-491-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 AVENUE E NW",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041741",
            "telephone_number": "406-491-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUPEIN",
        "first_name": "SHAYNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "33000898A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-38639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-42683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.