CRYSTAL BEAUDIN (NPI# 1700324001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700324001 |
| Entity Type | Individual |
| Full Name | CRYSTAL BEAUDIN |
| Practice Address |
1325 Wyoming St Missoula MT 59801-1725 |
| Mailing Address |
140 N Russell St Missoula MT 59801-1704 |
| Practice Telephone | 4065329808 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| 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) |
BBH-LAC-LIC-2293 | MT | Behavioral Health & Social Service Providers |
| Street Address |
1325 WYOMING ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134139660 | Andrea R Naples | Counselor | 1325 Wyoming St, Missoula, MT 59801-1725 | 2006-08-08 |
| 1073079364 | Wendy Simpson | Counselor | 1325 Wyoming St, Missoula, MT 59801-1725 | 2019-02-12 |
| 1922583293 | Carly Kleinert | Counselor | 1325 Wyoming St, Missoula, MT 59801-1725 | 2018-10-02 |
| 1184081499 | Tara Ivanovitch | Counselor | 1325 Wyoming St, Missoula, MT 59801-1725 | 2016-01-19 |
| 1902262785 | Bridgette Rowe | Counselor | 1325 Wyoming St, Missoula, MT 59801-1725 | 2016-01-08 |
| 1275912487 | Melissa Ann Woofter | Counselor | 1325 Wyoming St, Missoula, MT 59801-1725 | 2015-05-20 |
| 1679950034 | Meghan Elizabeth Yeomans | Counselor | 1325 Wyoming St, Missoula, MT 59801 | 2015-05-05 |
| 1841680352 | Paul Raymond Cahill | Counselor | 1325 Wyoming St, Missoula, MT 59801-1725 | 2015-02-04 |
| 1902207160 | Kaylee Virginia Blackwell | Counselor | 1325 Wyoming St, Missoula, MT 59801-1725 | 2014-09-08 |
| 1952718942 | Amanda Stevens | Counselor | 1325 Wyoming St, Missoula, MT 59801-1725 | 2014-07-22 |
| Find all providers in the same location | ||||
| 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 | ||||
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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.