Active NPI
Gregory F Shanks, MA, LCPC
- Professional Counselor
- Missoula, MT
National Provider Identifier
1881985653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1558
- Practice address
- 235 N 1St St W Ste C
Missoula, MT 59802-3661 - Phone
- (406) 214-9697
- Fax
- (406) 728-5178
- NPI assigned
- Apr 27, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1558 | MT | Primary |
Addresses
Primary practice location
235 N 1St St W Ste C
Missoula, MT 59802-3661
Mailing address
PO Box 17213
Missoula, MT 59808-7213
Phone (406) 327-3350
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1558 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey Ashmore PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1881985653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17213",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598087213",
"telephone_number": "406-327-3350",
"fax_number": "406-327-3396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 N 1ST ST W STE C",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023661",
"telephone_number": "406-214-9697",
"fax_number": "406-728-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKS",
"first_name": "GREGORY",
"middle_name": "F",
"credential": "MA, LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-27",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "1558",
"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 Dec 22, 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.