Individual provider Active NPI

Marsha Lynne Kirchner, L.C.P.C.

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1639190507
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
378 Issued in MT
Practice address
800 Kensington Ave
Suite LL3
Missoula, MT 59801-5674
Phone
(406) 728-8458
Fax
(406) 721-5234
NPI assigned
Jul 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 378 MT Primary

Addresses

Primary practice location

800 Kensington Ave
Suite LL3
Missoula, MT 59801-5674

Mailing address

PO Box 335
Missoula, MT 59806-0335
Phone (406) 728-8458

Other identifiers 5

IdentifierTypeStateIssuer
0001037783OtherMTMHN SERVICES PROVIDER NO.
134838OtherMTCOMPSYCH CORP. PROVIDER
0251914MedicaidMT
0005456426OtherMTAETNA PROVIDER NUMBER
74473OtherMTBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125003902 MT Practitioner - Marriage and Family Therapist 1759734767 Practice locations: Missoula, MT

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2831 Fort Missoula Rd
Suite 304
Missoula, MT 59804-7479
Phone (406) 728-8458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
378MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan L Hubbard, MD, PC Past Accepting new patients

Organizations & group practices 1

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": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639190507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598060335",
            "telephone_number": "406-728-8458",
            "fax_number": "406-721-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENSINGTON AVE",
            "address_2": "SUITE LL3",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015674",
            "telephone_number": "406-728-8458",
            "fax_number": "406-721-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHNER",
        "first_name": "MARSHA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN SERVICES PROVIDER NO.",
            "identifier": "0001037783",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH CORP. PROVIDER",
            "identifier": "134838",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251914",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "0005456426",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "74473",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.