Individual provider Active NPI

Michael W Linderman, MS, LCPC

  • Professional Counselor
  • Thompson Falls, MT
National Provider Identifier
1992892277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
869 LCPC Issued in MT
Practice address
1342 Blue Slide Rd
Thompson Falls, MT 59873-9472
Phone
(406) 827-4344
Fax
(406) 827-5100
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 869 LCPC MT Primary

Addresses

Primary practice location

1342 Blue Slide Rd
Thompson Falls, MT 59873-9472

Mailing address

32 Lone Wolf Rd
Trout Creek, MT 59874-9641
Phone (406) 827-4487

Other identifiers 1

IdentifierTypeStateIssuer
0256048MedicaidMT

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
Master of Science

State licenses

LicenseStateTypeSpecialty
869 LCPCMTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992892277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LONE WOLF RD",
            "city": "TROUT CREEK",
            "state": "MT",
            "postal_code": "598749641",
            "telephone_number": "406-827-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 BLUE SLIDE RD",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598739472",
            "telephone_number": "406-827-4344",
            "fax_number": "406-827-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDERMAN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "869 LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256048",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thompson Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.