Individual provider Active NPI

Pamela Kay Greskowiak, LCPC

  • Professional Counselor
  • Kalispell, MT
National Provider Identifier
1548626989
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15782 Issued in MT
Practice address
30 5TH St E Ste 101
Kalispell, MT 59901-4970
Phone
(406) 257-1206
NPI assigned
Jan 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15782 MT Primary

Addresses

Primary practice location

30 5TH St E Ste 101
Kalispell, MT 59901-4970

Mailing address

30 5TH St E Ste 101
Kalispell, MT 59901-4970
Phone (406) 257-1206

Other identifiers 1

IdentifierTypeStateIssuer
7292082MedicaidMT

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240311001489 MT Practitioner - Mental Health Counselor 5395181598 Practice locations: Kalispell, MT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15782MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thoughtful Endeavors Counseling LLC Professional CurrentSince Oct 15, 2023 Accepting new patients
Sunburst Community Service Foundation, Inc PastSince Feb 3, 2010 Accepting new patients

Locations

30 5th St E
Ste 101
Kalispell, MT 59901
Phone (406) 257-1206

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1548626989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 5TH ST E STE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014970",
            "telephone_number": "406-257-1206",
            "fax_number": "833-623-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 5TH ST E STE 101",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014970",
            "telephone_number": "406-257-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESKOWIAK",
        "first_name": "PAMELA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "15782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7292082",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.