Individual provider Active NPI

Kimberly Marie Kittelson

  • Clinical Social Worker
  • Plentywood, MT
National Provider Identifier
1831332899
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
100 W Laurel Ave
Plentywood, MT 59254-1647
Phone
(406) 765-2550
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X MT Primary
Social Worker 104100000X

Addresses

Primary practice location

100 W Laurel Ave
Plentywood, MT 59254-1647

Mailing address

PO Box 205
Outlook, MT 59252-0205
Phone (406) 688-8820

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260330000390 MT Practitioner - Clinical Social Worker 0446735344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Montana Community Mental Health CenterGroup PAC ID 9032155601, 9 clinicians

Practice addresses (Care Compare)

2508 Wilson St
Miles City, MT 59301-5000
Phone (406) 234-1687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Montana Community Mental Health Center Mental Health CurrentSince Jun 15, 2023 Accepting new patients
County of Sheridan PastSince Oct 5, 2025 Accepting new patients

Locations

2016 N Merrill Ave
Glendive, MT 59330
Phone (406) 377-6075

2508 Wilson St
Miles City, MT 59301
Phone (406) 234-0234

100 W Laurel Ave
Plentywood, MT 59254
Phone (406) 765-2550

1201 W Holly St
Ste 4
Sidney, MT 59270
Phone (406) 433-4635

124 Custer St
Wolf Point, MT 59201
Phone (406) 653-1872

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1831332899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "OUTLOOK",
            "state": "MT",
            "postal_code": "592520205",
            "telephone_number": "406-688-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W LAUREL AVE",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592541647",
            "telephone_number": "406-765-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTELSON",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plentywood, MT

Sources for this page

Verify at the official NPI Registry.