MR. LARRY D POWELL (NPI# 1780727966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780727966 |
| Entity Type | Individual |
| Full Name | MR. LARRY D POWELL |
| Credential | LCPC |
| Practice Address |
1601 2nd Ave N Ste 218 Great Falls MT 59401-3243 |
| Mailing Address |
132 14th Ave S Great Falls MT 59405-4214 |
| Practice Telephone | 4067613218 |
| Mailing Telephone | 4064543101 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
982 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD | 745183 | 01 |
| MT | 0254048 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710241799 | Larry Darnell Powell | Counselor | 9738 Sanilac St, Detroit, MI 48224-1250 | 2012-06-25 |
| 1497976427 | Larry Don Powell | Dentist | 110 Este Way, Suite A, Hot Springs Village, AR 71909 | 2007-05-01 |
| 1457485310 | Larry Clinton Powell | Counselor | 1769 Park Ave Ste 210, San Jose, CA 95126-2025 | 2007-03-15 |
| 1427498336 | Larry Malone Powell | Counselor | 4343 Williamsbourgh Drive, Sacramento, CA 95823 | 2013-06-25 |
| 1831448331 | Larry V Powell | Pharmacist | 10599 Dorchester Rd, Summerville, SC 29485-8047 | 2012-08-30 |
| 1609917442 | Larry F. Powell | Pharmacist | 793 Eastern By-pass, Suite G-01, Richmond, KY 40475 | 2007-02-12 |
| 1144271669 | Larry Dean Powell | Family Medicine | 301 Wanda St, Marietta, OK 73448-1229 | 2006-05-12 |
| Street Address |
1601 2ND AVE N STE 218 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401-3243 |
| 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 MR. LARRY D POWELL.
| 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.