Organization Active NPI

Coffee Talk Counseling LLC

  • Clinical Social Worker
  • Great Falls, MT
National Provider Identifier
1558965152
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COFFEE TALK COUNSELING LLC
Practice address
1601 2ND Ave N Ste 650
Great Falls, MT 59401-3287
Phone
(406) 750-2633
NPI assigned
Nov 24, 2020
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Crystal Hoffman, LCSW
Title
Owner
Phone
(406) 750-5866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1601 2ND Ave N Ste 650
Great Falls, MT 59401-3287

Mailing address

2820 5TH Ave S
Great Falls, MT 59405-3143
Phone (406) 750-5866

National Provider Directory

National Provider Directory

Locations

1601 2nd Ave N
Ste 650
Great Falls, MT 59401
Phone (406) 750-2633

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1558965152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 5TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053143",
            "telephone_number": "406-750-5866",
            "fax_number": "406-294-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 650",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013287",
            "telephone_number": "406-750-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE TALK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-750-5866",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "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 Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.