Tahj B Kjelland

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33128

Practice address

1580 Milwaukee Way
Missoula, MT 59801-3006

Phone

(406) 818-1111

NPI assigned

Jun 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1932724960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2751",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598062751",
            "telephone_number": "406-818-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MILWAUKEE WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013006",
            "telephone_number": "406-818-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJELLAND",
        "first_name": "TAHJ",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "33128",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "33128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Roger Kirkeide
• Laura Kirsch, PHD
• Elli Kiselica
• Tamara Lee Kittelson-Aldred, MS, OTR, ATP
• Sarah D Kitterman
• Kelly Ann Klauber, PA-C
• Carly Kleinert
• Olivia Ann Kleinsasser
• Mary Z Kleschen, MD
• Melissa Kleschen

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.