Active NPI
Adolescent & Adult Addiction Counseling
- Addiction (Substance Use Disorder) Counselor
- Whitefish, MT
National Provider Identifier
1770754178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1021
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76050 | Other | MT | BLUECROSSBLUESHIELD |
National Provider Directory
National Provider DirectoryLocations
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.