Individual provider Active NPI

Tricia A Opstad, CCC-SLP

  • Speech-Language Pathologist
  • Missoula, MT
National Provider Identifier
1902161920
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
MT 3161 Issued in MT
Practice address
815 Elm Street
Missoula, MT 59802-2451
Phone
(406) 531-4249
Fax
(406) 258-0638
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X MT 3161 MT Primary

Addresses

Primary practice location

815 Elm Street
Missoula, MT 59802-2451

Mailing address

815 Elm Street
Missoula, MT 59802-2451
Phone (406) 531-4249

Other identifiers 1

IdentifierTypeStateIssuer
332E6135E6MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180713001459 MT Practitioner - Qualified Speech Language Pathologist 6406102987 Practice locations: Missoula, MT

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 N Higgins Ave
Suite 206
Missoula, MT 59802-4443
Phone (406) 531-4249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT 3161MTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurie Childs Speech-Language Pathology LLC Speech-Language Pathologist PastSince Mar 24, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1902161920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 ELM STREET",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022451",
            "telephone_number": "406-531-4249",
            "fax_number": "406-258-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 ELM STREET",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598022451",
            "telephone_number": "406-531-4249",
            "fax_number": "406-258-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPSTAD",
        "first_name": "TRICIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "MT 3161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332E6135E6",
            "state": "MT"
        }
    ],
    "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 Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.