Individual provider Active NPI

Katherine Stacy Kiser, M.A., LCPC

  • Mental Health Counselor
  • Ronan, MT
National Provider Identifier
1841335973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1228 Issued in MT
Practice address
530 Highway 93 South
Ronan, MT 59864
Phone
(406) 676-8006
Fax
(406) 676-8019
NPI assigned
Feb 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1228 MT Primary

Addresses

Primary practice location

530 Highway 93 South
Ronan, MT 59864

Mailing address

56405 Moiese Valley Rd
Moiese, MT 59824-9458
Phone (406) 644-2222

Other identifiers 1

IdentifierTypeStateIssuer
0257108MedicaidMT

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1228MTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841335973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56405 MOIESE VALLEY RD",
            "city": "MOIESE",
            "state": "MT",
            "postal_code": "598249458",
            "telephone_number": "406-644-2222",
            "fax_number": "406-644-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HIGHWAY 93 SOUTH",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "59864",
            "telephone_number": "406-676-8006",
            "fax_number": "406-676-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "KATHERINE",
        "middle_name": "STACY",
        "name_prefix": "Ms.",
        "credential": "M.A., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "1228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257108",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronan, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.