AUTUMN MARIE DILLER (NPI# 1134695091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134695091 |
| Entity Type | Individual |
| Full Name | AUTUMN MARIE DILLER |
| Credential | LAC |
| Practice Address |
1 Woodcocks Way St. Ignatius MT 59865 |
| Mailing Address |
P.o. Box 880 St. Ignatius MT 59865 |
| Practice Telephone | 4067453525 |
| Mailing Telephone | 4067453525 |
| Mailing Fax Number | 4067453529 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-12-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
32707 | MT | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
BBH-LAC-LIC-3270 | MT | Behavioral Health & Social Service Providers |
| Street Address |
1 WOODCOCKS WAY |
| City | ST. IGNATIUS |
| State | MT |
| Zip Code | 59865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727468 | Shawn Michael Griffith | Dentist | 1 Woodcocks Way, St. Ignatius, MT 59865 | 2018-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007544 | Donald Paul Roberts | Counselor | 109 First Avenue, St. Ignatius, MT 59865 | 2019-05-03 |
| 1518521657 | Maria Grieco | Social Worker | 76 3rd Ave, St. Ignatius, MT 59865 | 2019-04-24 |
| 1801363239 | Julie A. Cross | Dental Hygienist | 1 Woodscocks Way, St. Ignatius, MT 59865 | 2018-10-24 |
| 1063868743 | Natasha R. Sinclair | Registered Nurse | 308 Mission Dr., St. Ignatius, MT 59865 | 2016-05-11 |
| 1487067880 | Brenda Ferril | Chiropractor | 200 Mountain View St, St Ignatius, MT 59865 | 2014-06-04 |
| 1114248648 | Suzanne T Cannady | Pharmacist | #5 4th Ave E, Polson, MT 59865 | 2010-06-18 |
| 1083947055 | Sunburst Community Service Foundation, Inc | Clinic/Center | 109 1st Avenue, St Ignatius, MT 59865 | 2009-09-09 |
| 1396974572 | Jennifer Van Wagoner | Dentist | 35401 Mission Dr, St. Ignatius, MT 59865 | 2009-07-08 |
| 1124211297 | Gordon F Duff Gerrish | Psychologist | 56850 Fish Hatchery Road, St Ignatius, MT 59865 | 2007-08-22 |
| 1225252935 | Richard J Best | General Practice | 101 Arrow St Dba Garden Wall Clinic, St. Ignatius, MT 59865 | 2007-04-12 |
| Find all providers in zip 59865 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007544 | Donald Paul Roberts | Counselor | 109 First Avenue, St. Ignatius, MT 59865 | 2019-05-03 |
| 1508115205 | Kathleen R Ross | Counselor | 308 Mission Drive, St. Ignatius, MT 59865 | 2012-09-10 |
| 1427247246 | James Pittaway | Counselor | 308 Mission Drive, St. Ignatius, MT 59865 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
| 1861004863 | Kevin Sean Stewart | Counselor | 22 W Park St, Butte, MT 59701-1714 | 2020-08-20 |
| 1689292351 | Cassandra Pendill | Counselor | 1700 S 72nd St W, Billings, MT 59106-3538 | 2020-07-09 |
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1831714963 | Aaron Anciaux | Counselor | 25155 Thompson Dr, Huson, MT 59846-8518 | 2020-06-15 |
| 1770108904 | Adrian Sagan Pllc | Counselor | 21 N Last Chance Gulch Ste 202, Helena, MT 59601-4108 | 2020-06-12 |
| 1427673177 | Jaye Daniele Hellerud | Counselor | 2120 3rd Ave N, Billings, MT 59101-2212 | 2020-06-09 |
| 1538797808 | Meira Aliza Alon | Counselor | 614 S 11th Ave, Bozeman, MT 59715-4368 | 2020-03-31 |
| 1699309997 | Sara Hepburn Lombardi-thorman | Counselor | 709 Park Ave, Whitefish, MT 59937-2831 | 2020-02-25 |
| 1265066500 | Masc LLC | Counselor | 491 Shaw Gulch Lane, Superior, MT 59872-0214 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | ST. IGNATIUS |
| Zip Code | 59865 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.