Paul Wagler McCormick, MS, LAC, BCD

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1163-LAC Issued in MT

Practice address

111 N. Last Chance Gulch Suite 2a
Helena, MT 59601

Phone

(406) 443-1990

Fax

(406) 443-1391

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mr. Paul N. Wagler Former name

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montana Counseling Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Helena, MT
  • NPI 1285417303

  MT

  Medicare reassignment NPD
• Katherine M Flynn PSYD PLLC

  • Psychologist
  • Helena, MT
  • NPI 1992256960
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760545917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WAUKESHA ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597018747",
            "telephone_number": "406-431-7356",
            "fax_number": "406-443-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N. LAST CHANCE GULCH SUITE 2A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "59601",
            "telephone_number": "406-443-1990",
            "fax_number": "406-443-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "PAUL",
        "middle_name": "WAGLER",
        "name_prefix": "Mr.",
        "credential": "MS, LAC, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1163-LAC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B. C. DIPLOMATE-AMER.BDA",
            "identifier": "4033-96",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MT.",
            "identifier": "761160",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "WAGLER",
            "middle_name": "N.",
            "prefix": "MR.",
            "credential": "MS BCD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsay Renae Tudor McCarthy, APRN
• Lisa Lynn McCarthy, PT
• Shawna McCauley, FNP-C
• Michael Duane McClain, DC
• Terah Marie Lynn McClain, DC
• Abigail L McCromick-Hinojosa, M.ED, BCABA
• Morgan Alexa McDonald, PA-C
• Marsha Buyer McFarland, PHD
• Anna McGill, LMT
• Lacey Elaine McGree, PA-C

• All providers in Helena, MT
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.