Individual provider Active NPI

Carlos Malaver Parada, LAC, LCP

  • Addiction (Substance Use Disorder) Counselor
  • Great Falls, MT
National Provider Identifier
1588359970
Registry record updated Apr 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
BBH-LAC-LIC-62715 Issued in MT
Practice address
1601 2ND Ave N
Great Falls, MT 59401-3259
Phone
(406) 468-8425
Fax
(406) 453-1314
NPI assigned
Apr 10, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BBH-PCLC-LIC-31276 MT
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X BBH-LAC-LIC-62715 MT Primary

Addresses

Primary practice location

1601 2ND Ave N
Great Falls, MT 59401-3259

Mailing address

5 Bear Paw PL
Great Falls, MT 59404-6438
Phone (406) 468-8425

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.cmpphctcllc.com

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

LicenseStateTypeSpecialty
BBH-LAC-LIC-62715MTMDAddiction (Substance Use Disorder) Counselor
BBH-PCLC-LIC-31276MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CMP Power of Healing Counseling and Treatment Center Addiction (Substance Use Disorder) CurrentSince Apr 16, 2023 Accepting new patients
Camapa Parenting and Counseling Center LLC Addiction (Substance Use Disorder) PastSince Apr 16, 2023 Accepting new patients

Locations

1601 2nd Ave N
Great Falls, MT 59401
Phone (406) 205-0452

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681516800000",
    "number": "1588359970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEAR PAW PL",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046438",
            "telephone_number": "406-468-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013259",
            "telephone_number": "406-468-8425",
            "fax_number": "406-453-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAVER PARADA",
        "first_name": "CARLOS",
        "credential": "LAC, LCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-15",
        "certification_date": "2023-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-PCLC-LIC-31276",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-62715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cmpphctcllc.com",
            "affiliation": "N",
            "endpointDescription": "www.cmpphctcllc.com",
            "address_1": "1601 2nd Ave N",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594013259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 15, 2023; 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.