Patty Sisk Goodmundson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

225 7TH Ave S
Great Falls, MT 59405-1820

Phone

(406) 453-5592

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1760902886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 1ST ST SE",
            "city": "DUTTON",
            "state": "MT",
            "postal_code": "594339665",
            "telephone_number": "406-788-4706",
            "fax_number": "406-952-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 7TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594051820",
            "telephone_number": "406-453-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMUNDSON",
        "first_name": "PATTY",
        "middle_name": "SISK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob G Golik, PHARM.D.
• Stephanie Gondek
• Calvin Peter Gone
• Barbara Good, LICENSED AC
• Sophia Pearl Good
• Daniel K. Gordon, MD
• Katherine Marie Gordon, LMT
• Samantha Lynn Gordon, M. ED
• Sara G Goroski, APRN
• Paul L Gorsuch Jr., MD

• Professional Counselor in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.