Stewart Andrew McCracken, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1951 Issued in MT

Practice address

491 Shaw Gulch LN
Superior, MT 59872-0124

Phone

(406) 304-6371

Fax

(866) 261-3089

NPI assigned

May 23, 2012

Last updated

Jul 29, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Masc LLC

  • Addiction (Substance Use Disorder) Counselor
  • Superior, MT
  • NPI 1265066500
  NPD

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1578823589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598720124",
            "telephone_number": "406-304-6371",
            "fax_number": "866-261-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 SHAW GULCH LN",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598720124",
            "telephone_number": "406-304-6371",
            "fax_number": "866-261-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "STEWART",
        "middle_name": "ANDREW",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265066500",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayme Lynne Krogstad, LCPC
• Carissa Kuhl, LCPC
• Brayden Michael Leake, PHARM.D.
• Masc LLC
• Linea Maxwell, LCSW
• Lawana V McGuffey, ACLC, SWLC, MSW
• Jenny Lynn Miller, LAC-BBH-LAC-LIC-4969
• Mineral Drug, Inc (Mineral Pharmacy)
• Mineral Pharmacy Inc
• Mineral Regional Health Center Inc.

• Addiction (Substance Use Disorder) Counselor in Superior, MT
• Providers in Superior, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.