Individual provider Active NPI

Charlotte E. Fuson, LCPC, LAC

  • Professional Counselor
  • Helena, MT
National Provider Identifier
1679630347
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
471LCPC Issued in MT
Practice address
535 Saddle Dr
Helena, MT 59601-5634
Phone
(406) 449-3949
Fax
(406) 449-8828
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 731 MT
Professional Counselor 101YP2500X 471LCPC MT Primary
Marriage & Family Therapist 106H00000X LMFT2230 MT

Addresses

Primary practice location

535 Saddle Dr
Helena, MT 59601-5634

Mailing address

535 Saddle Dr
Helena, MT 59601-5634
Phone (406) 449-3949

Other identifiers 1

IdentifierTypeStateIssuer
253331MedicaidMT

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
731MTMDAddiction (Substance Use Disorder) Counselor
471LCPCMTMDProfessional Counselor
LMFT2230MTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1679630347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SADDLE DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596015634",
            "telephone_number": "406-449-3949",
            "fax_number": "406-449-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SADDLE DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596015634",
            "telephone_number": "406-449-3949",
            "fax_number": "406-449-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSON",
        "first_name": "CHARLOTTE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LCPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "731",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "471LCPC",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "LMFT2230",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253331",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.