Active NPI
Amy Fantozzi, LCPC
- Professional Counselor
- Libby, MT
National Provider Identifier
1891460366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- BBH-LCPC-57447
- Practice address
- 216 W 9TH St Ste 2
Libby, MT 59923-1866 - Phone
- (406) 291-2655
- NPI assigned
- Aug 16, 2021
- Last updated
- Sep 27, 2022
- Sex
- Female
- Sole proprietor
- No
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 | BBH-LCPC-57447 | MT | Primary |
Addresses
Primary practice location
216 W 9TH St Ste 2
Libby, MT 59923-1866
Mailing address
2538 Swede Mountain Rd
Libby, MT 59923-7669
Phone (406) 283-1350
Other practice location 1
723 5th Ave E # B-18
Kalispell, MT 59901-5321
Phone (406) 283-1350
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCPC-57447 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1891460366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2538 SWEDE MOUNTAIN RD",
"city": "LIBBY",
"state": "MT",
"postal_code": "599237669",
"telephone_number": "406-283-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 W 9TH ST STE 2",
"city": "LIBBY",
"state": "MT",
"postal_code": "599231866",
"telephone_number": "406-291-2655"
}
],
"practiceLocations": [
{
"address_1": "723 5th Ave E # B-18",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599015321",
"country_code": "US",
"telephone_number": "406-283-1350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FANTOZZI",
"first_name": "AMY",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "BBH-LCPC-57447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Libby, MT
- Ercanbrack Surgical PC
- Lance L Ercanbrack, M.D.
- Eric C. Simpson D.D.S., P.C.
- Family Birth Services LLC
- Family Health & Wellness, Inc.
- Tony Albert Fantozzi, PA-C
- Virginia Fikes, FNP-C
- Martha A. Finley, MSW, LCSW
- Fisher River Valley Fire Service Area
- Fisher River Volunteer Fire Company (Fisher River Valley Fire Rescue)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.