MRS. MARILYN J IVERS (NPI# 1629295969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629295969 |
| Entity Type | Individual |
| Full Name | MRS. MARILYN J IVERS |
| Credential | LCPC |
| Practice Address |
410 Central Ave Suite 510 Great Falls MT 59401 |
| Mailing Address |
Po Box 234 Great Falls MT 59403 |
| Practice Telephone | 4064533384 |
| Mailing Telephone | 4064533384 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
553 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD | 74915 | 01 |
| MT | 254150 | 05 |
| Street Address |
410 CENTRAL AVE SUITE 510 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811926330 | Vicki C Stull | Counselor | 410 Central Ave, Suite 514, Great Falls, MT 59401-3154 | 2006-06-30 |
| 1942320320 | Stephen Arthur Maki | Social Worker | 410 Central Ave, Suite 502, Great Falls, MT 59401-3154 | 2007-03-30 |
| 1073658464 | Janet Breeden | Social Worker | 410 Central Ave, Suite # 502, Great Falls, MT 59401-3154 | 2007-02-21 |
| 1538213855 | Kyla Rae Kalanick Wright | Counselor | 410 Central Ave, Suite #602, Great Falls, MT 59401-3154 | 2007-01-23 |
| 1043369978 | Wava E Goetz | Counselor | 410 Central Ave, Suite 509, Great Falls, MT 59401-3154 | 2007-01-09 |
| 1184716680 | Bobbin Kay Maki | Counselor | 410 Central Ave, #502, Great Falls, MT 59401 | 2006-09-29 |
| 1528075496 | Leslie Ann Murphy | Counselor | 410 Central Ave, Suite 302, Great Falls, MT 59404 | 2006-08-02 |
| 1013936269 | Cheryl Mae Treinen | Counselor | 410 Central Ave, Suite 507, Great Falls, MT 59401-3154 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
| 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 |
| Find all providers in zip 59401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790328573 | Amanda M Walker | Counselor | 1601 2nd Ave N Ste 200a, Great Falls, MT 59401-3243 | 2019-10-23 |
| 1124519491 | Destiny Freiburg | Counselor | 417 Central Ave Ste 2b, Great Falls, MT 59401-3162 | 2018-05-22 |
| 1366956898 | Lela May Zuck | Counselor | 600 Central Ave Ste 312, Great Falls, MT 59401-3141 | 2017-11-20 |
| 1902322266 | Tanya L Richem | Counselor | 1324 Central Ave W Ste 6, Great Falls, MT 59404-3971 | 2017-08-18 |
| 1760902886 | Patty Sisk Goodmundson | Counselor | 225 7th Ave S, Great Falls, MT 59405-1820 | 2017-06-20 |
| 1245772920 | Believe Therapeutic Services | Counselor | 1601 2nd Ave N Ste 450-i, Great Falls, MT 59401-3259 | 2016-11-10 |
| 1528500402 | Jacqueline Woyth | Counselor | 2501 6th St Nw, Great Falls, MT 59404-1300 | 2016-11-09 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1487106928 | Nicole Dresch | Counselor | 3420 15th Ave South, Great Falls, MT 59405 | 2016-11-01 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59401 |
Please comment or provide details below to improve the information on MRS. MARILYN J IVERS.
| 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.