STACY A MCKITTRICK (NPI# 1578025375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578025375 |
| Entity Type | Individual |
| Full Name | STACY A MCKITTRICK |
| Credential | ACLC |
| Practice Address |
26 4th St S Great Falls MT 59401 |
| Practice Telephone | 4067272512 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | STATE OF MONTANA LICENSE | 37405 | 01 |
| Street Address |
26 4TH ST S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
| 1720464340 | Rivers Edge Dental | Health Maintenance Organization | 1900 River Drive North, Great Falls, MT 59401 | 2015-08-05 |
| 1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
| 1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
| 1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
| 1952683542 | Mary Dolores Mancillas-loveless | Physical Therapy Assistant | 612 1st Ave. So., Great Falls, MT 59401 | 2011-09-09 |
| 1629363338 | Tanya Lee Harant | Technician, Other | 614 Central Ave., Great Falls, MT 59401 | 2011-06-10 |
| 1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
| 1164744900 | Sue A Stevens | Counselor | 26 4th St N., Gateway Community Services, Great Falls, MT 59401 | 2010-02-21 |
| Find all providers in zip 59401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603018 | Seeking Recovery | Counselor | 1601 2nd Ave N Ste 335, Great Falls, MT 59401-3259 | 2019-08-09 |
| 1073029369 | Janine Lou Hieb | Counselor | 600 Central Ave Ste 212, Great Falls, MT 59401-3141 | 2017-12-21 |
| 1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
| 1750769592 | Emily Shelton | Counselor | 914 20th St S, Great Falls, MT 59405-2743 | 2015-05-13 |
| 1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
| 1417371915 | Mary Marsh | Counselor | 600 Central Ave Ste 16, Great Falls, MT 59401-3141 | 2014-02-05 |
| 1427487057 | Erin K Burch | Counselor | 1417 9th Street South, Suite 200, Great Falls, MT 59401-4304 | 2013-11-04 |
| 1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
| 1144519083 | Via Vita LLC | Counselor | 320 1st Ave N, Great Falls, MT 59401-2506 | 2011-03-31 |
| 1043514599 | Julie Loretta Messerly | Counselor | 1125 2nd Ave N, Suite #7, Great Falls, MT 59401-2666 | 2010-12-26 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59401 |
Please comment or provide details below to improve the information on STACY A MCKITTRICK.
| 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.