Roberta Sue Cladouhos-Powell, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

983 LCPC Issued in MT

Practice address

4119 7TH Ave N
Center for Mental Health/Morningside Elementary
Great Falls, MT 59405-1119

Phone

(406) 750-4139

NPI assigned

Feb 20, 2006

Last updated

Sep 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Great Falls, MT
  • NPI 1144251885
  NPD (past)
• Center for Mental Health

  • Mental Illness Community Based Residential Treatment Facility
  • Great Falls, MT
  • NPI 1710450044
  NPD (past)

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1609841022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3089",
            "address_2": "CENTER FOR MENTAL HEALTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594033089",
            "telephone_number": "406-761-2100",
            "fax_number": "406-761-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 7TH AVE N",
            "address_2": "CENTER FOR MENTAL HEALTH/MORNINGSIDE ELEMENTARY",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594051119",
            "telephone_number": "406-750-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLADOUHOS-POWELL",
        "first_name": "ROBERTA",
        "middle_name": "SUE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "983 LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257387",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONTANA - CENTER FOR MENTAL HEALTH",
            "identifier": "0000744903",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "743370",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shayna Chupein, LCSW
• Mary M Churchill-Lewis, OT/L, CHT
• Nicholas James Ciafardone, ADDICTION COUNSELOR
• Heather Rae Cirilli
• City of Great Falls
• Alyssa Clark
• Belinda Clark, LMT, BCTMB
• Brook Elizabeth Clark, PH.D.
• Richard Lee Clark, CPO
• Clark's Orthopedic & Medical, Inc.

• Professional Counselor in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.