Individual provider Active NPI

Kade Shaw

  • Mental Health Counselor
  • Billings, MT
National Provider Identifier
1972261733
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
48191 Issued in MT
Practice address
1245 N 29TH St
Billings, MT 59101-0122
Phone
(406) 839-2437
Fax
(406) 238-3679
NPI assigned
Nov 29, 2021
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 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 48191 MT Primary

Addresses

Primary practice location

1245 N 29TH St
Billings, MT 59101-0122

Mailing address

1245 N 29TH St
Billings, MT 59101-0122
Phone (406) 252-5658

Other identifiers 1

IdentifierTypeStateIssuer
1891781787MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL scmrmhc.org Direct

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
I20250411000410 MT Practitioner - Mental Health Counselor 7719401777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Montana Regional Mental Health CenterGroup PAC ID 8224936224, 10 clinicians

Practice addresses (Care Compare)

1245 N 29TH St
Billings, MT 59101-0122
Phone (406) 252-5658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48191MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Montana Regional Mental Health Center CurrentSince Jan 16, 2025 Accepting new patients

Locations

1245 N 29th St
Billings, MT 59101
Phone (406) 252-5658

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1972261733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 N 29TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010122",
            "telephone_number": "406-252-5658",
            "fax_number": "406-238-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 N 29TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010122",
            "telephone_number": "406-839-2437",
            "fax_number": "406-238-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "48191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891781787",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "scmrmhc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1245 N 29th St",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "591010122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.