Individual provider Active NPI

Kathleen Chavis, LCPC, LAC

  • Professional Counselor
  • Butte, MT
National Provider Identifier
1891156956
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-37915 Issued in MT
Practice address
PO Box 3864
Butte, MT 59702-3864
Phone
(406) 310-7777
Fax
(406) 299-2948
NPI assigned
Mar 16, 2016
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 BBH-LAC-LIC-4963 MT
Professional Counselor 101YP2500X BBH-LCPC-LIC-37915 MT Primary

Addresses

Primary practice location

PO Box 3864
Butte, MT 59702-3864

Mailing address

1216 Schley Ave
Butte, MT 59701-3444
Phone (406) 533-5759

Other practice location 1

55 E Galena St
Butte, MT 59701-1703
Phone (406) 782-0461

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
I20240906001798 MT Practitioner - Mental Health Counselor 1850831702 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LAC-LIC-4963MTMDAddiction (Substance Use Disorder) Counselor
BBH-LCPC-LIC-37915MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Montana Mental Health Center Addiction (Substance Use Disorder) CurrentSince Jun 21, 2024 Accepting new patients
Life Management Associates, LLC Addiction (Substance Use Disorder) PastSince Aug 10, 2019 Accepting new patients

Locations

81 W Park St
Butte, MT 59701
Phone (406) 497-9000

1315 Wyoming St
Missoula, MT 59801
Phone (406) 532-9700

1321 Wyoming St
Missoula, MT 59801

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1891156956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 SCHLEY AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013444",
            "telephone_number": "406-533-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 3864",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597023864",
            "telephone_number": "406-310-7777",
            "fax_number": "406-299-2948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 E Galena St",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597011703",
            "country_code": "US",
            "telephone_number": "406-782-0461",
            "fax_number": "406-782-7435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "KATHLEEN",
        "credential": "LCPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-4963",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-37915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.