MR. KASEY JOSEPH NICHOLSON (NPI# 1366711418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366711418 |
| Entity Type | Individual |
| Full Name | MR. KASEY JOSEPH NICHOLSON |
| Credential | M.S., LAC |
| Practice Address |
830 W Central Ave Missoula MT 59801-7931 |
| Practice Telephone | 4068299515 |
| Practice Fax Number | 4068299519 |
| Mailing Telephone | 4068299515 |
| Mailing Fax Number | 4068299519 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1340 LAC | MT | 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 |
| 1245876689 | Ivan Macdonald | Counselor | 830 W Central Ave, Missoula, MT 59801-7931 | 2019-11-20 |
| 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 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922667062 | Patrick Ryan | Counselor | 1335 Wyoming St, Missoula, MT 59801-1725 | 2019-06-12 |
| 1497237648 | Leigh Ann Christian Lcsw, Lac Pllc | Counselor | 127 N Higgins Ave Ste 307d, Missoula, MT 59802-4486 | 2018-09-04 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1831686088 | Darren Baird Ashby | Counselor | 202 Brooks St, Missoula, MT 59801-4019 | 2018-04-13 |
| 1508380569 | Lowell Owen Wavrick | Counselor | 4998 Sonoma St, Missoula, MT 59808-8694 | 2017-08-01 |
| 1649720319 | Andrea J Foran | Counselor | 700 South Ave W Ste B, Missoula, MT 59801-8011 | 2016-10-06 |
| 1922557123 | Candace Mirea | Counselor | 2809 Connery Way Ste B, Missoula, MT 59808-1955 | 2016-09-28 |
| 1316312150 | Greta Jernberg | Counselor | 800 Kensington Ave Ste Ll2, Missoula, MT 59801-5670 | 2015-12-04 |
| 1851766745 | Kali Neumeister | Counselor | 136 E Broadway St Ste 16, Missoula, MT 59802-4505 | 2015-12-03 |
| 1124418298 | Ronald Emmanuel Barker | Counselor | 1119 W Kent Ave Ste C, Missoula, MT 59801-6633 | 2015-01-28 |
| Find all providers in MISSOULA | ||||
Please comment or provide details below to improve the information on MR. KASEY JOSEPH NICHOLSON.
| 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.