Individual provider Active NPI

Kaitlin Michele Kavlie, PCLC

  • Professional Counselor
  • Billings, MT
National Provider Identifier
1679344899
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-PCLC-LIC-69832 Issued in MT
Practice address
1018 N 30TH St
Billings, MT 59101-0732
Phone
(406) 252-4194
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 BBH-PCLC-LIC-69832 MT Primary

Addresses

Primary practice location

1018 N 30TH St
Billings, MT 59101-0732

Mailing address

1018 N 30TH St
Billings, MT 59101-0732
Phone (406) 252-4194

Other names 1

  • Kaitlin Michele Goldthwaite Former name

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
I20260626004641 MT Practitioner - Mental Health Counselor 9234602590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1018 N 30TH St
Billings, MT 59101-0732

2475 Village LN
Suite 302
Billings, MT 59102-2497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-PCLC-LIC-69832MTMDProfessional Counselor

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1679344899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 N 30TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010732",
            "telephone_number": "406-252-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N 30TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010732",
            "telephone_number": "406-252-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVLIE",
        "first_name": "KAITLIN",
        "middle_name": "MICHELE",
        "credential": "PCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-PCLC-LIC-69832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "GOLDTHWAITE",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.