Sheridan John Ground, A.C.L.C.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Browning, MT
NPI 1730737149 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1730737149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 23070 (MT)
- Practice address
- 503 Popimi St
Browning, MT 59417-5315 - Phone
- (406) 338-3948
- NPI assigned
- Aug 28, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23070 | MT | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23070 | MT | Yes |
Addresses
Primary practice location
503 Popimi St
Browning, MT 59417-5315
Mailing address
503 Popimi St
Browning, MT 59417-5315
Phone (406) 338-3948
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407215684 | Medicaid | MT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 161.223.82.1 | Blackfeet Tribe |
Other providers in Browning, MT
- Vanissa Grant
- Ernest Joseph Gray
- Sydney Rae Green
- Iva L Gregory
- Dominga Mia Ground
- Brian Hall
- Janel M Hall
- Dawn Michele Hammermeister
- Susan K. Head
- Gale Crystal Headdress
All providers in Browning, MT · Addiction (Substance Use Disorder) Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.