Individual provider Active NPI

Cheryl Kenck

  • Professional Counselor
  • Billings, MT
National Provider Identifier
1689047433
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
SWP-LCPC-LIC-565 Issued in MT
Practice address
1734 St Andrews Dr
Billings, MT 59105-3822
Phone
(406) 690-6221
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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 SWP-LCPC-LIC-565 MT Primary

Addresses

Primary practice location

1734 St Andrews Dr
Billings, MT 59105-3822

Mailing address

1734 St Andrews Dr
Billings, MT 59105-3822
Phone (406) 690-6221

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
SWP-LCPC-LIC-565MTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1689047433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 ST ANDREWS DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591053822",
            "telephone_number": "406-690-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 ST ANDREWS DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591053822",
            "telephone_number": "406-690-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENCK",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "SWP-LCPC-LIC-565",
            "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 Nov 2, 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.