Active NPI
Poppy and Sage Counseling PLLC
- Mental Health Counselor
- Missoula, MT
National Provider Identifier
1548077332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- POPPY AND SAGE COUNSELING PLLC
- Practice address
- 2713 Oshaughnesy St
Missoula, MT 59808-1329 - Phone
- (469) 630-1615
- NPI assigned
- Dec 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shannon R Lollar, PHD, LPC, LCPC, NCC
- Title
- Owner and Therapist
- Phone
- (361) 446-0602
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2713 Oshaughnesy St
Missoula, MT 59808-1329
Mailing address
PO Box 18281
Missoula, MT 59808-8281
Phone (469) 630-1615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386323681 | Medicaid | MT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Missoula, MT
- NPI 1386323681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734307200000",
"number": "1548077332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18281",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598088281",
"telephone_number": "469-630-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2713 OSHAUGHNESY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081329",
"telephone_number": "469-630-1615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POPPY AND SAGE COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-15",
"status": "A",
"authorized_official_last_name": "LOLLAR",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER AND THERAPIST",
"authorized_official_telephone_number": "361-446-0602",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LPC, LCPC, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386323681",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.