Active NPI
Marsha Lynne Kirchner, L.C.P.C.
- Professional Counselor
- Missoula, MT
National Provider Identifier
1639190507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 378
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001037783 | Other | MT | MHN SERVICES PROVIDER NO. |
| 134838 | Other | MT | COMPSYCH CORP. PROVIDER |
| 0251914 | Medicaid | MT | |
| 0005456426 | Other | MT | AETNA PROVIDER NUMBER |
| 74473 | Other | MT | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 378 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Primary Care Clinic/Center
- Missoula, MT
- NPI 1942538897
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.