Organization Active NPI

Adolescent & Adult Addiction Counseling

  • Addiction (Substance Use Disorder) Counselor
  • Whitefish, MT
National Provider Identifier
1770754178
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1021 Issued in MT
Legal business name
ADOLESCENT & ADULT ADDICTION COUNSELING
Practice address
404 1St St
Suite B
Whitefish, MT 59937-2574
Phone
(406) 863-2050
Fax
(406) 863-2051
NPI assigned
Mar 13, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Terry Lee Thompson, BSW/LAC
Title
Provider/Owner
Phone
(406) 863-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1021 MT Primary

Addresses

Primary practice location

404 1St St
Suite B
Whitefish, MT 59937-2574

Mailing address

404 E 1St Street
Ste B
Whitefish, MT 55937
Phone (406) 863-2050

Other identifiers 1

IdentifierTypeStateIssuer
76050OtherMTBLUECROSSBLUESHIELD

National Provider Directory

National Provider Directory

Locations

404 E 1st St
Ste B
Whitefish, MT 59937
Phone (406) 863-2050

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1770754178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 1ST STREET",
            "address_2": "STE B",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "55937",
            "telephone_number": "406-863-2050",
            "fax_number": "406-863-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 1ST ST",
            "address_2": "SUITE B",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372574",
            "telephone_number": "406-863-2050",
            "fax_number": "406-863-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOLESCENT & ADULT ADDICTION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "406-863-2050",
        "authorized_official_credential": "BSW/LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "76050",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.