Active NPI
Stefan M Spies, LAC
- Addiction (Substance Use Disorder) Counselor
- Kalispell, MT
National Provider Identifier
1801419908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- BBH-ACLC-LIC-43000
- Practice address
- 285 2ND Avenue West N
Kalispell, MT 59901-3910 - Phone
- (406) 890-2570
- NPI assigned
- May 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BBH-ACLC-LIC-43000 | MT | Primary |
Addresses
Primary practice location
285 2ND Avenue West N
Kalispell, MT 59901-3910
Mailing address
285 2ND Avenue West N
Kalispell, MT 59901-3910
Phone (406) 890-2570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598234858 | 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 |
|---|---|---|---|
| BBH-ACLC-LIC-43000 | MT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1801419908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 2ND AVENUE WEST N",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013910",
"telephone_number": "406-890-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 2ND AVENUE WEST N",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013910",
"telephone_number": "406-890-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIES",
"first_name": "STEFAN",
"middle_name": "M",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-22",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "BBH-ACLC-LIC-43000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598234858",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.