IVAN MACDONALD (NPI# 1245876689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245876689 |
| Entity Type | Individual |
| Full Name | IVAN MACDONALD |
| Credential | LCSWE |
| Practice Address |
830 W Central Ave Missoula MT 59801-7931 |
| Mailing Address |
2100 Stephens Ave Ste 105&106 Missoula MT 59801-6659 |
| Practice Telephone | 4068299515 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
830 W CENTRAL AVE |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-7931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285769786 | Missoula Urban Indian Health Center, Inc. | Clinic/Center | 830 W Central Ave, Missoula, MT 59801-7931 | 2007-02-23 |
| 1952920548 | Morgan Miller | Counselor | 830 W Central Ave, Missoula, MT 59801-7931 | 2020-04-13 |
| 1043863319 | Erica Bitencourt Rubino | Dietitian, Registered | 830 W Central Ave, Missoula, MT 59801-7931 | 2019-07-16 |
| 1346746880 | Lida A Running Crane | Counselor | 830 W Central Ave, Missoula, MT 59801-7931 | 2018-04-03 |
| 1649663923 | All Nations Health Center, Inc. | Clinic/Center | 830 W Central Ave, Missoula, MT 59801-7931 | 2015-03-11 |
| 1063802056 | Lily Gervais | Counselor | 830 W Central Ave, Missoula, MT 59801-7931 | 2015-01-28 |
| 1063813152 | Kathleen Little Leaf I | Counselor | 830 W Central Ave, Missoula, MT 59801-7931 | 2014-09-09 |
| 1689921512 | Teresa Renee' Pirro Vial | Nurse Practitioner | 830 W Central Ave, Missoula, MT 59801-7931 | 2012-08-09 |
| 1366711418 | Kasey Joseph Nicholson | Counselor | 830 W Central Ave, Missoula, MT 59801-7931 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501190 | Sabina Sabyrkulova | Counselor | 313 Sw Higgins Ave, Missoula, MT 59803-1405 | 2020-09-03 |
| 1437712247 | Abrei Cloud Lcsw LLC | Counselor | 111 N Higgins Ave Ste 200-5, Missoula, MT 59802-4437 | 2019-04-17 |
| 1053876912 | Maegan Rides At The Door | Counselor | 4744 Sonoma St, Missoula, MT 59808-9671 | 2019-02-05 |
| 1336649011 | Molly Murphy Counseling | Counselor | 1515 Fairview Ave Ste 240, Missoula, MT 59801-7821 | 2018-02-19 |
| 1508366881 | Kimberly Kay Parrow | Counselor | 401 S 1st St W, Missoula, MT 59801-1850 | 2018-02-13 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1356888069 | Julienne Reid Stickney | Counselor | 410 Expressway Ste C, Missoula, MT 59808-1537 | 2017-01-20 |
| 1558805002 | Dara Kim Newman | Counselor | 510 Arbor Dr, Missoula, MT 59802-3126 | 2016-12-16 |
| 1457806598 | Stephanie Nold | Counselor | 501 Sw Higgins Ave Apt C, Missoula, MT 59803-1451 | 2016-08-18 |
| 1881042190 | Molly Murphy | Counselor | 405 S 1st St W, Missoula, MT 59801-1850 | 2016-05-26 |
| Find all providers in MISSOULA | ||||
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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.