Organization Active NPI

Stillwater Counseling Services PLLC

  • Clinical Social Worker
  • Great Falls, MT
National Provider Identifier
1851885958
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STILLWATER COUNSELING SERVICES PLLC
Practice address
410 Central Ave Ste 507
Great Falls, MT 59401-3128
Phone
(406) 231-1084
NPI assigned
Jun 21, 2018
Last updated
Jan 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Teresa B Schmit, LCSWNPI 1508291303
Title
Owner
Phone
(406) 231-1084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

410 Central Ave Ste 507
Great Falls, MT 59401-3128

Mailing address

PO Box 2462
Great Falls, MT 59403-2462
Phone (406) 231-1084

Other identifiers 1

IdentifierTypeStateIssuer
1508291303MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190910003453 MT Part B Supplier - Clinic/Group Practice 6406185800 Receives reassigned benefits from 1 practitioner
Practice locations: Great Falls, MT

National Provider Directory

National Provider Directory

Locations

410 Central Ave
Ste 507
Great Falls, MT 59401
Phone (406) 231-1084

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1851885958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2462",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594032462",
            "telephone_number": "406-231-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CENTRAL AVE STE 507",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013128",
            "telephone_number": "406-231-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "SCHMIT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-231-1084",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508291303",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.