STEWART ANDREW MCCRACKEN (NPI# 1578823589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578823589 |
| Entity Type | Individual |
| Full Name | STEWART ANDREW MCCRACKEN |
| Credential | LAC |
| Practice Address |
491 Shaw Gulch Ln Superior MT 59872-0124 |
| Mailing Address |
Po Box 124 Superior MT 59872-0124 |
| Practice Telephone | 4063046371 |
| Practice Fax Number | 8662613089 |
| Mailing Telephone | 4063046371 |
| Mailing Fax Number | 8662613089 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1951 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1265066500 | 05 |
| Street Address |
491 SHAW GULCH LN |
| City | SUPERIOR |
| State | MT |
| Zip Code | 59872-0124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265943237 | Tyler Quintinn Steinebach | Emergency Medical Technician, Intermediate | 502 Main Avenue, Superior, MT 59872 | 2017-10-18 |
| 1386160976 | Leann Joyce Anderson | Counselor | 304 4th Ave E, Superior, MT 59872 | 2017-08-16 |
| 1386043289 | Charles D. Avery | Massage Therapist | 120 Second Ave E., Superior, MT 59872 | 2014-08-15 |
| 1811208929 | Brenda Kh Reynolds | Massage Therapist | 400 Tami Dr E, Superior, MT 59872 | 2010-06-24 |
| 1588852578 | Superior Elementary School | Community Based Residential Treatment Facility, Mental Illness | 1003 5th Avenue East, Superior, MT 59872 | 2007-10-04 |
| 1285702670 | Dana W Austin | Physical Therapist | 406 2nd Avenue East, Superior, MT 59872 | 2006-12-01 |
| 1508877291 | Victor Labarre Stampley | Social Worker | 405 Brooklyn Avenue, Superior, MT 59872 | 2006-08-10 |
| 1235178906 | Superior Volunteer Fire Company Inc | Ambulance | 310 River St, Superior, MT 59872 | 2006-06-06 |
| 1376637470 | Missoula Community Health Services, Inc. | Family Medicine | 1208 6th Ave E, Superior, MT 59872 | 2006-10-03 |
| 1265066500 | Masc LLC | Counselor | 491 Shaw Gulch Lane, Superior, MT 59872-0214 | 2020-02-25 |
| Find all providers in zip 59872 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580182 | Michele Denise Perron | Counselor | 912 Baxter Ave, Superior, WI 54880-1735 | 2020-05-18 |
| 1265066500 | Masc LLC | Counselor | 491 Shaw Gulch Lane, Superior, MT 59872-0214 | 2020-02-25 |
| 1386160976 | Leann Joyce Anderson | Counselor | 304 4th Ave E, Superior, MT 59872 | 2017-08-16 |
| 1578090049 | Barbara Titus | Counselor | 1810 Belknap St, Superior, WI 54880-2595 | 2017-05-16 |
| 1346636115 | Debra Rybos | Counselor | 2120 John Ave, Superior, WI 54880-4923 | 2015-04-08 |
| 1083036305 | Stephanie Quick | Counselor | 405 Brooklyn St, Superior, MT 59872-9607 | 2014-01-07 |
| 1245558840 | Choices, Inc. | Counselor | 304 4th Ave. E, Superior, MT 59872-0622 | 2010-05-07 |
| 1770716771 | Rae Jean Bergner | Counselor | 1500 N 34th St Ste 200, Superior, WI 54880-4477 | 2009-08-25 |
| 1831371350 | Elizabeth B Byler | Counselor | 1531 Hughitt Ave, Superior, WI 54880-2855 | 2007-11-27 |
| 1457576779 | Joseph Walter Knotts | Counselor | 1926 E 2nd St, Apt. 8, Superior, WI 54880-3578 | 2007-04-13 |
| Find all providers in SUPERIOR | ||||
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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.