Active NPI
Penny M Gifford, LCPC
- Professional Counselor
- Missoula, MT
National Provider Identifier
1962608174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 336 W. Spruce
Missoula, MT 59802 - Phone
- (970) 217-8686
- Fax
- (844) 587-9638
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4727 | MT | |
| Professional Counselor | 101YP2500X | 5992 | CO | |
| Professional Counselor | 101YP2500X | MT | Primary |
Addresses
Primary practice location
336 W. Spruce
Missoula, MT 59802
Mailing address
PO Box 1371
Missoula, MT 59806
Phone (970) 217-8686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7168109 | Medicaid | MT |
Other names 1
- Penny M Sutton
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 |
|---|---|---|---|
| 5992 | CO | MD | Professional Counselor |
| 4727 | MT | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1962608174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1371",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59806",
"telephone_number": "970-217-8686",
"fax_number": "844-587-9638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 W. SPRUCE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59802",
"telephone_number": "970-217-8686",
"fax_number": "844-587-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "PENNY",
"middle_name": "M",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "4727",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "5992",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7168109",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PENNY",
"last_name": "SUTTON",
"middle_name": "M",
"code": "5",
"type": "Other Name"
}
]
}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 Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.