KELLEY D FERGUSON (NPI# 1679824411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679824411 |
| Entity Type | Individual |
| Full Name | KELLEY D FERGUSON |
| Credential | LCPC |
| Practice Address |
970 Rd 300 Nw 970 Rd 300 Nw Havre MT 59501-3106 |
| Mailing Address |
Po Box 174 970 Rd 300 Nw Havre MT 59501-0174 |
| Practice Telephone | 4063900141 |
| Mailing Telephone | 4063900141 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
912 | MT | Behavioral Health & Social Service Providers |
| Street Address |
970 RD 300 NW 970 RD 300 NW |
| City | HAVRE |
| State | MT |
| Zip Code | 59501-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718184 | Health Services Montana LLC | Hearing Instrument Specialist | Holiday Village Mall 1753 Hwy 2 Nw, Ste 45, Havre, MT 59501 | 2020-10-20 |
| 1487140398 | Matthew Pett | Registered Nurse | Northern Montana Hospital, 30 13th St, Havre, MT 59501 | 2018-07-03 |
| 1528586146 | Michaela Sarah Whitmore | Physician Assistant | 521 4th Street, Bullhook Community Health Center, Havre, MT 59501 | 2017-09-04 |
| 1902324635 | Abrianna Lee Johnson | Nurse Practitioner | 30 13th Street, P.o. Box 1231, Havre, MT 59501 | 2017-09-01 |
| 1326584608 | Darlene Jo Sellers | Counselor | 642 North 6th Street, Havre, MT 59501 | 2017-01-11 |
| 1205245230 | Donald Harper | Pharmacist | 3510 Highway 2 West, Havre, MT 59501 | 2014-08-04 |
| 1912287152 | Tanya Mccullough | Registered Nurse | 20 13 St West, Havre, MT 59501 | 2011-08-19 |
| 1093952095 | Larry Wayne Fangsrud | Pharmacist | 3180 Hwy 2 W, Kmart Pharmacy, Havre, MT 59501 | 2009-01-13 |
| 1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
| 1437287406 | Janet M Trethewey | Specialist/Technologist | 300 W 11 St, Msu-northern, Havre, MT 59501 | 2007-03-01 |
| Find all providers in zip 59501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962709931 | Barry C. Coy | Counselor | 312 3rd St # 1658, Center for Mental Health, Havre, MT 59501-3534 | 2011-02-27 |
| 1619158854 | Wanda Marie Meland | Counselor | 625 12th Ave, Havre, MT 59501-4242 | 2007-11-15 |
| 1700091006 | Shannon Lee Crossler | Counselor | 220 3rd Ave Ste 407, Havre, MT 59501-3554 | 2007-05-11 |
| 1689690208 | William H Boley | Counselor | 15 Pike St, Havre, MT 59501-4438 | 2006-07-15 |
| 1972559110 | Renee Ratliff | Counselor | 2229 5th Ave, Suite 108, Havre, MT 59501-5217 | 2006-05-26 |
| 1659995140 | Ascend Behavioral Health Services | Counselor | 220 3rd Ave Ste 407b, Havre, MT 59501-3554 | 2020-06-01 |
| 1164052650 | C/p Counseling Services LLC | Counselor | 220 3rd Ave Ste 407, Havre, MT 59501-3554 | 2020-01-23 |
| 1396290276 | Hummingbird Mental Health Services, LLC | Counselor | 305 3rd Ave, Suite 204, Havre, MT 59501-3576 | 2016-08-19 |
| 1346404241 | Aaron Charles Morsette | Counselor | 312 3rd St, Havre, MT 59501-3534 | 2008-07-10 |
| 1962559997 | Northwest Healthcare Corporation | Counselor | 2229 5th Ave, Suite 108, Havre, MT 59501-5217 | 2007-01-04 |
| Find all providers in HAVRE | ||||
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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.