Willow Coefield

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BBH-LAC-LIC-63613 Issued in MT

Practice address

61262 Watson Rd
St Ignatius, MT 59865-9124

Phone

(406) 381-3962

NPI assigned

Aug 25, 2023

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sunburst Health LLC

  dba Cedar Creek Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1093297764

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1881479202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61262 WATSON RD",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598659124",
            "telephone_number": "406-381-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61262 WATSON RD",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598659124",
            "telephone_number": "406-381-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COEFIELD",
        "first_name": "WILLOW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-63613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary H Callahan, MS, CCC-SLP
• Billie Nich'E Caye Daniel, RN
• Joseph Donald Charlo, PHARM D
• Robin Marie Charlton-Fry, LPN
• Thomas Vernon Christensen, REGISTERED DENTAL HY
• Confederated Salish & Kootenai Tribes of the Flathead Reservation (CSKT St. Ignatius Health Center Pharmacy)
• Confederated Salish and Kootenai Tribes of the Flathead Reservation
• Clarice Louise Cooper, BSN, RN
• Simon Crawford, PA-C
• Julie A. Cross, DENTAL HYGIENIST

• Addiction (Substance Use Disorder) Counselor in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.