Individual provider Active NPI

Emily Shelton, LCPC, LAC

  • Professional Counselor
  • Great Falls, MT
National Provider Identifier
1750769592
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
SWP-LCPC-LIC-11066 Issued in MT
Practice address
914 20TH St S
Great Falls, MT 59405-2743
Phone
(406) 217-6007
Fax
(855) 873-1194
NPI assigned
May 13, 2015
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC-LAC-LIC-4139 MT
Professional Counselor 101YP2500X SWP-LCPC-LIC-11066 MT Primary

Addresses

Primary practice location

914 20TH St S
Great Falls, MT 59405-2743

Mailing address

914 20TH St S
Great Falls, MT 59405-2743
Phone (406) 217-6007

Other identifiers 1

IdentifierTypeStateIssuer
813076483MedicaidMT

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
LAC-LAC-LIC-4139MTMDAddiction (Substance Use Disorder) Counselor
SWP-LCPC-LIC-11066MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Therapy, LLC Current Accepting new patients

Locations

914 20th St S
Great Falls, MT 59405
Phone (406) 217-6007

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.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1750769592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 20TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052743",
            "telephone_number": "406-217-6007",
            "fax_number": "855-873-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 20TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052743",
            "telephone_number": "406-217-6007",
            "fax_number": "855-873-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "EMILY",
        "credential": "LCPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "LAC-LAC-LIC-4139",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "SWP-LCPC-LIC-11066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "813076483",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.