Organization Active NPI

Modern Paths of Wellness Counseling

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1629680194
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MODERN PATHS OF WELLNESS COUNSELING
Doing business as
Shalom Franchont Waltenbaugh
Practice address
527 Lake Elmo Dr
Billings, MT 59105-3051
Phone
(406) 208-4289
NPI assigned
Aug 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Mr. Shalom Franchont Waltenbaugh, LCSW, LACNPI 1518449222
Title
Owner
Phone
(406) 208-4289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

527 Lake Elmo Dr
Billings, MT 59105-3051

Mailing address

916 Dorothy Lane
Billings, MT 59105
Phone (406) 208-4289

Other identifiers 1

IdentifierTypeStateIssuer
1518449222MedicaidMT

Other names 1

  • Shalom Franchont Waltenbaugh Doing business as

National Provider Directory

National Provider Directory

Locations

916 Dorothy Ln
Billings, MT 59105

527 Lake Elmo Dr
Billings, MT 59105
Phone (406) 208-4289

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1629680194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 DOROTHY LANE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "59105",
            "telephone_number": "406-208-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 LAKE ELMO DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591053051",
            "telephone_number": "406-208-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PATHS OF WELLNESS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "WALTENBAUGH",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_middle_name": "FRANCHONT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-208-4289",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518449222",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalom Franchont Waltenbaugh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 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.