Jerald Whitney Palmer, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1169 Issued in MT

Practice address

1601 2ND Ave N Ste 614
Great Falls, MT 59401-3287

Phone

(406) 231-3064

Fax

(406) 952-4631

NPI assigned

Apr 30, 2010

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1508183492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 614",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013287",
            "telephone_number": "406-231-3064",
            "fax_number": "406-952-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 614",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013287",
            "telephone_number": "406-231-3064",
            "fax_number": "406-952-4631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 27th Ave S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594056206",
            "country_code": "US",
            "telephone_number": "406-727-5633",
            "fax_number": "406-452-2713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JERALD",
        "middle_name": "WHITNEY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "1169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Monzella Pack, MBA, MSN, FNP-BC
• Cynthia Santos-Ocampo Padilla, M.D.
• Gina M. Painter, DPM
• Hana Paladichuk, MD
• Jeffery A Palen, DO
• Melissa Anne Papp, M.D.
• Varghese Parambi, MD
• Amy Jolene Paranteau, LAC
• Denise Renee Pardee, SPECIALIST
• Cody Michael Pardue, LCPC, LAC

• Professional Counselor in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.

Verify at the official NPI Registry.