Individual provider Active NPI

Sylvia F Longknife, LCPC

  • Mental Health Counselor
  • Polson, MT
National Provider Identifier
1942490511
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1262 Issued in MT
Practice address
107 8TH Ave W
Polson, MT 59860-2911
Phone
(406) 883-6333
Fax
(406) 883-6332
NPI assigned
Jul 30, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1262 MT Primary

Addresses

Primary practice location

107 8TH Ave W
Polson, MT 59860-2911

Mailing address

PO Box 813
Arlee, MT 59821-0813
Phone (406) 726-4369

Other identifiers 1

IdentifierTypeStateIssuer
1262OtherMTSTATE OF MONTANA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240603000975 TX Practitioner - Mental Health Counselor 5991247231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

107 H St
P O Box 67
Poplar, MT 59255-0067

107 H St E
P O Box 67
Poplar, MT 59255-0067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1262MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
U S Health Dept of Health & Human Services CurrentSince Apr 21, 2024 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Apr 21, 2024 Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

107 H St
Poplar, MT 59255
Phone (406) 738-3491

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1942490511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813",
            "city": "ARLEE",
            "state": "MT",
            "postal_code": "598210813",
            "telephone_number": "406-726-4369",
            "fax_number": "406-494-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 8TH AVE W",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602911",
            "telephone_number": "406-883-6333",
            "fax_number": "406-883-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGKNIFE",
        "first_name": "SYLVIA",
        "middle_name": "F",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "1262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MONTANA LICENSE",
            "identifier": "1262",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Polson, MT

Sources for this page

Verify at the official NPI Registry.