Individual provider Active NPI

Miri'Ikai Walter, LCPC, LAC, NPT-C,

  • Professional Counselor
  • Kalispell, MT
National Provider Identifier
1871225524
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70513 Issued in MT
Practice address
1011 United States Highway 2 West
Ste 400 E
Kalispell, MT 59901
Phone
(406) 607-7003
Fax
(406) 551-1066
NPI assigned
Jun 29, 2022
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 63798 MT
Professional Counselor 101YP2500X 70513 MT Primary

Addresses

Primary practice location

1011 United States Highway 2 West
Ste 400 E
Kalispell, MT 59901

Mailing address

1011 United States Highway 2 West
Ste 400 E
Kalispell, MT 59901
Phone (406) 607-7003

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mwalter8257@ucumberlands.edu Other University of the Cumberlands

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
I20240826001810 MT Practitioner - Mental Health Counselor 5193264950 Practice locations: Kalispell, MT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63798MTMDAddiction (Substance Use Disorder) Counselor
70513MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Second Wind Counseling LTD. Co. CurrentSince Mar 31, 2024 Accepting new patients
University of the Cumberlands Student in an Organized Health Care Education/Training Program Past Accepting new patients

Locations

2001 11th Ave
Ste 2427
Helena, MT 59601

1011 US Highway 2 W
Ste 400
Kalispell, MT 59901
Phone (406) 607-7003

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1871225524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 UNITED STATES HIGHWAY 2 WEST",
            "address_2": "STE 400 E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-607-7003",
            "fax_number": "406-551-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 UNITED STATES HIGHWAY 2 WEST",
            "address_2": "STE 400 E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-607-7003",
            "fax_number": "406-551-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "MIRI'IKAI",
        "credential": "LCPC, LAC, NPT-C,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "63798",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "70513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mwalter8257@ucumberlands.edu",
            "affiliation": "Y",
            "endpointDescription": "university",
            "affiliationName": "University of the Cumberlands",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "confidential contact",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "6180 College Station Dr",
            "city": "Williamsburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "407691372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.