CODY MICHAEL PARDUE (NPI# 1851886030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851886030 |
| Entity Type | Individual |
| Full Name | CODY MICHAEL PARDUE |
| Credential | LAC |
| Practice Address |
920 4th Ave N Great Falls MT 59401 |
| Mailing Address |
3616 9th Ave N Great Falls MT 59401-2227 |
| Practice Telephone | 4067278832 |
| Mailing Telephone | 4065901489 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| 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-2304 | MT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26 4th St N, Great Falls, MT 594013106 | 4067272512 |
| Street Address |
920 4TH AVE N |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952464448 | Rocky Mountain Treatment Center | Substance Abuse Rehabilitation Facility | 920 4th Ave N, Great Falls, MT 59401-1514 | 2006-12-18 |
| 1679984959 | Jessica Marie Hofer | Counselor | 920 4th Ave N, Great Falls, MT 59401-1514 | 2014-05-08 |
| 1972936227 | Jeff Joseph Fauque | Counselor | 920 4th Ave N, Great Falls, MT 59401-1514 | 2013-08-09 |
| 1114281219 | Marcie Dardis | Counselor | 920 4th Ave N, Great Falls, MT 59401-1514 | 2012-07-03 |
| 1417211517 | Gary Scott Jaynes | Counselor | 920 4th Ave N, Great Falls, MT 59401-1514 | 2012-07-03 |
| 1083978175 | Terrie Sandstrom | Counselor | 920 4th Ave N, Great Falls, MT 59401-1514 | 2012-07-03 |
| 1902962194 | Rapheal (monty) E Kuka | Psychologist | 920 4th Ave N, Great Falls, MT 59401-1514 | 2006-12-29 |
| 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 | 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 |
| 1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
| 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 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59401 |
Please comment or provide details below to improve the information on CODY MICHAEL PARDUE.
| 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.