Individual provider Active NPI

Kathleen Reed Tilton, LCPC

  • Mental Health Counselor
  • Great Falls, MT
National Provider Identifier
1639572175
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8534 Issued in MT
Practice address
513 1St Ave S
Center for Mental Health
Great Falls, MT 59401-3604
Phone
(406) 727-4315
Fax
(406) 791-9629
NPI assigned
Sep 29, 2014
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8534 MT Primary

Addresses

Primary practice location

513 1St Ave S
Center for Mental Health
Great Falls, MT 59401-3604

Mailing address

PO Box 3089
Center for Mental Health
Great Falls, MT 59403-3089
Phone (406) 727-4315

Other identifiers 1

IdentifierTypeStateIssuer
0MT0744213OtherMTBLUE CROSS-SHIELD OF MONTANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8534MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Mental Health Mental Health Past Accepting new patients
Center for Mental Health Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1639572175",
    "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": "406-727-4315",
            "fax_number": "406-791-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 1ST AVE S",
            "address_2": "CENTER FOR MENTAL HEALTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013604",
            "telephone_number": "406-727-4315",
            "fax_number": "406-791-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILTON",
        "first_name": "KATHLEEN",
        "middle_name": "REED",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "8534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONTANA",
            "identifier": "0MT0744213",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.