Active NPI
Shayna Chupein, LCSW
- Clinical Social Worker
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-42683
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33000898A | IN | MD | Clinical Social Worker |
| BBH-LCSW-LIC-42683 | MT | MD | Clinical Social Worker |
| BBH-SWLC-LIC-38639 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Psychiatry, PLLC | Current | 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
- shayna@direct.mtbscc.org
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.