Active NPI
Astri Marie Zidack, LCPC
- Professional Counselor
- Billings, MT
National Provider Identifier
1679944771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- SWP LCPC LIC 7403
- Practice address
- 801 N 29TH St
Billings, MT 59101-0905 - Phone
- (406) 238-2500
- Fax
- (406) 657-4945
- NPI assigned
- Oct 14, 2015
- Sex
- Female
- Sole proprietor
- No
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 | SWP LCPC LIC 7403 | MT | Primary |
Addresses
Primary practice location
801 N 29TH St
Billings, MT 59101-0905
Mailing address
PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-2500
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
| License | State | Type | Specialty |
|---|---|---|---|
| SWP LCPC LIC 7403 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1679944771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35100",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591075100",
"telephone_number": "406-238-2500",
"fax_number": "406-657-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N 29TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010905",
"telephone_number": "406-238-2500",
"fax_number": "406-657-4945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIDACK",
"first_name": "ASTRI",
"middle_name": "MARIE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-14",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "SWP LCPC LIC 7403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.