Individual provider Active NPI

Aaron Philip Kinnaman

  • Mental Health Counselor
  • Great Falls, MT
National Provider Identifier
1972183150
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1500 10TH Ave S Ste 200
Great Falls, MT 59405-2619
Phone
(406) 866-0350
Fax
(406) 403-0263
NPI assigned
Apr 12, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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 NU Primary

Addresses

Primary practice location

1500 10TH Ave S Ste 200
Great Falls, MT 59405-2619

Mailing address

1500 10TH Ave S Ste 200
Great Falls, MT 59405-2619
Phone (406) 866-0350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20250313001457 MT Practitioner - Mental Health Counselor 6507388097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Green Apple Counseling, LLC Mental Health CurrentSince Dec 8, 2024 Accepting new patients

Locations

1500 10th Ave S
Ste 200
Great Falls, MT 59405
Phone (406) 866-0350

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, 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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1972183150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 10TH AVE S STE 200",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052619",
            "telephone_number": "406-866-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 10TH AVE S STE 200",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052619",
            "telephone_number": "406-866-0350",
            "fax_number": "406-403-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNAMAN",
        "first_name": "AARON",
        "middle_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.