Active NPI
Tristen Valentino, LCPC
- Mental Health Counselor
- Butte, MT
National Provider Identifier
1689140816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- BBH-LCPC-LIC-34367
- Practice address
- 501 E Front St Ste 513
Butte, MT 59701-5209 - Phone
- (406) 565-5154
- Fax
- (406) 565-5040
- NPI assigned
- Oct 15, 2018
- Last updated
- Sep 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | BBH-LCPC-LIC-34367 | MT | Primary |
Addresses
Primary practice location
501 E Front St Ste 513
Butte, MT 59701-5209
Mailing address
501 E Front St Ste 513
Butte, MT 59701-5209
Phone (406) 565-5154
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 |
|---|---|---|---|
| BBH-LCPC-LIC-34367 | MT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity in Motion LLC | Current | Accepting new patients | |
| Life Management Associates, LLC | Past | Accepting new patients |
Locations
501 E Front St
Ste 513
Butte, MT 59701
Phone (406) 565-5154
Organizations & group practices 3
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.
-
dba Guiding Light Mental Health
- Community/Behavioral Health Agency
- Butte, MT
- NPI 1841890175
-
- Professional Counselor
- Butte, MT
- NPI 1932520459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1689140816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E FRONT ST STE 513",
"city": "BUTTE",
"state": "MT",
"postal_code": "597015209",
"telephone_number": "406-565-5154",
"fax_number": "406-565-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E FRONT ST STE 513",
"city": "BUTTE",
"state": "MT",
"postal_code": "597015209",
"telephone_number": "406-565-5154",
"fax_number": "406-565-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINO",
"first_name": "TRISTEN",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-15",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "BBH-LCPC-LIC-34367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.