Active NPI
Anna Golding
- Addiction (Substance Use Disorder) Counselor
National Provider Identifier
1720481971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4218
- Practice address
- 1325 Wyoming Street
Missoula, MONTANA 59802
UM - Phone
- (406) 532-9817
- Fax
- (406) 541-3032
- NPI assigned
- Oct 2, 2014
- Last updated
- Dec 22, 2014
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4218 | MT | Primary |
Addresses
Primary practice location
1325 Wyoming Street
Missoula, MONTANA 59802
UM
Mailing address
3255 LT Moss Rd
Missoula, MT 59804-7220
Phone (406) 532-8953
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 |
|---|---|---|---|
| 4218 | MT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of the Art Healing, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1932930591
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1720481971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 LT MOSS RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047220",
"telephone_number": "406-532-8953",
"fax_number": "406-543-6751"
},
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "1325 WYOMING STREET",
"city": "MISSOULA",
"state": "MONTANA",
"postal_code": "59802",
"telephone_number": "406-532-9817",
"fax_number": "406-541-3032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDING",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-02",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "4218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.