Individual provider Active NPI

Kathryn Warner, PH.D, LCPC, LPC, NCC

  • Professional Counselor
  • Great Falls, MT
National Provider Identifier
1962673145
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-7831 Issued in MT
Practice address
1720 10TH Ave S
Ste. #4
Great Falls, MT 59405-2680
Phone
(406) 899-0600
Fax
(866) 666-2907
NPI assigned
Mar 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-4925 CO
Addiction (Substance Use Disorder) Counselor 101YA0400X ACC-7079 CO
Professional Counselor 101YP2500X BBH-LCPC-LIC-7831 MT Primary

Addresses

Primary practice location

1720 10TH Ave S
Ste. #4
Great Falls, MT 59405-2680

Mailing address

1720 10TH Ave S
Ste. #4
Great Falls, MT 59405-2680
Phone (406) 899-0600

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ACC-7079COMDAddiction (Substance Use Disorder) Counselor
LPC-4925COMDProfessional Counselor
BBH-LCPC-LIC-7831MTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1962673145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 10TH AVE S",
            "address_2": "STE. #4",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052680",
            "telephone_number": "406-899-0600",
            "fax_number": "866-666-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 10TH AVE S",
            "address_2": "STE. #4",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052680",
            "telephone_number": "406-899-0600",
            "fax_number": "866-666-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PH.D, LCPC, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC-4925",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC-7079",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-7831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.