Active NPI
Tawny Lynn Stark, LCPC, LAC
- Professional Counselor
- Billings, MT
National Provider Identifier
1568808665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- SWP-LCPC-LIC-2439
- Practice address
- 2475 Village LN Ste 102
Billings, MT 59102-2497 - Phone
- (406) 855-7255
- NPI assigned
- May 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAC-LAC-LIC-1348 | MT | |
| Professional Counselor | 101YP2500X | SWP-LCPC-LIC-2439 | MT | Primary |
Addresses
Primary practice location
2475 Village LN Ste 102
Billings, MT 59102-2497
Mailing address
PO Box 50538
Billings, MT 59105-0538
Phone (406) 855-7255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-LAC-LIC-1348 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| SWP-LCPC-LIC-2439 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1568808665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50538",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591050538",
"telephone_number": "406-855-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 VILLAGE LN STE 102",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591022497",
"telephone_number": "406-855-7255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "TAWNY",
"middle_name": "LYNN",
"credential": "LCPC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "LAC-LAC-LIC-1348",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "SWP-LCPC-LIC-2439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.