Mary Barron Woldstad, M.A., L.C.P.C., C.M.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1156-LCPC Issued in MT

Practice address

422 Montana
Valier, MT 59486

Phone

(406) 338-3671

Fax

(406) 338-3671

NPI assigned

Jul 25, 2006

Last updated

Nov 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Ms. Mary Barron Sturhan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1629091152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 21",
            "city": "VALIER",
            "state": "MT",
            "postal_code": "594860021",
            "telephone_number": "406-338-3671",
            "fax_number": "406-338-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MONTANA",
            "city": "VALIER",
            "state": "MT",
            "postal_code": "59486",
            "telephone_number": "406-338-3671",
            "fax_number": "406-338-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDSTAD",
        "first_name": "MARY",
        "middle_name": "BARRON",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.C.P.C., C.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "1156 LCPC",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "1156-LCPC",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD OF MONT",
            "identifier": "0000742990",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "STURHAN",
            "middle_name": "BARRON",
            "prefix": "MS.",
            "credential": "M.A., L.C.P.C., C.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gina Dosch, LCPC, ACLC
• Marias Healthcare Services Inc
• Pamela Jean McFarland, LCPC

• Professional Counselor in Valier, MT
• Providers in Valier, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.