Active NPI
Katherine Kelly Gifford, CBHPSS
- Peer Specialist
- Missoula, MT
National Provider Identifier
1841920782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- BBH-BHPS-CRT-55462
- Practice address
- 202 Brooks St Ste 300
Missoula, MT 59801-4019 - Phone
- (406) 926-1453
- Fax
- (406) 926-1454
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | BBH-BHPS-CRT-55462 | MT | Primary |
Addresses
Primary practice location
202 Brooks St Ste 300
Missoula, MT 59801-4019
Mailing address
PO Box 3976
Missoula, MT 59806-3976
Phone (406) 926-1453
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-BHPS-CRT-55462 | MT | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepping Stones Behavioral Health Services, Inc. | Current | Accepting new patients | |
| Stepping Stones Counseling, PLLC | Past | Accepting new patients |
Locations
202 Brooks St
#300
Missoula, MT 59801
Phone (406) 926-1453
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Missoula, MT
- NPI 1730778408
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Missoula, MT
- NPI 1407346596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1841920782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3976",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598063976",
"telephone_number": "406-926-1453",
"fax_number": "406-926-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 BROOKS ST STE 300",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014019",
"telephone_number": "406-926-1453",
"fax_number": "406-926-1454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "KATHERINE",
"middle_name": "KELLY",
"credential": "CBHPSS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-14",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MT",
"license": "BBH-BHPS-CRT-55462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.