Active NPI
Emily Shelton, LCPC, LAC
- Professional Counselor
- Great Falls, MT
National Provider Identifier
1750769592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- SWP-LCPC-LIC-11066
- 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, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 813076483 | Medicaid | MT |
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 |
|---|---|---|---|
| LAC-LAC-LIC-4139 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| SWP-LCPC-LIC-11066 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba E & S Recovery, LLC
- Community/Behavioral Health Agency
- Great Falls, MT
- NPI 1326499633
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.