KATHLEEN M WATKINS (NPI# 1962437293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962437293 |
| Entity Type | Individual |
| Full Name | KATHLEEN M WATKINS |
| Credential | B.A. LAC |
| Practice Address |
802 Main St Ste C Polson MT 59860-3200 |
| Practice Telephone | 4068837310 |
| Practice Fax Number | 4068837312 |
| Mailing Telephone | 4068837310 |
| Mailing Fax Number | 4068837312 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-09 |
| 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) |
1117 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD | 760890 | 01 |
| MT | 0320099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841741097 | Kathleen Watkins | Behavioral Analyst | 5 Grenier Dr, Danbury, CT 06810-8209 | 2016-10-21 |
| 1861746257 | Kathleen Watkins | Psychologist | 5616 Adale Pl, Los Angeles, CA 90043-2108 | 2012-11-06 |
| 1376989400 | Kathleen A Watkins | Physical Therapist | 1001 Center St, Little Egg Harbor Twp, NJ 08087-1347 | 2013-05-15 |
| Street Address |
802 MAIN ST STE C |
| City | POLSON |
| State | MT |
| Zip Code | 59860-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063443927 | Sheila M Bell | Social Worker | 802 Main St Ste C, Polson, MT 59860-3200 | 2006-07-06 |
| 1669026571 | Timothy Fox | Counselor | 802 Main St Ste C, Polson, MT 59860-3200 | 2019-07-29 |
| 1093258790 | April Brewer | Counselor | 802 Main St Ste C, Polson, MT 59860-3200 | 2016-11-29 |
| 1124160429 | Lesley E. Dubay | Counselor | 802 Main St Ste C, Polson, MT 59860-3200 | 2007-02-13 |
| 1356456594 | Renee' Running Rabbit | Counselor | 802 Main St Ste C, Polson, MT 59860-3200 | 2006-08-20 |
| 1184655045 | Charles M Ripley | Counselor | 802 Main St Ste C, Polson, MT 59860-3200 | 2006-07-06 |
| 1619909488 | Lake County Chemical Dependency Program | Clinic/Center | 802 Main St Ste C, Polson, MT 59860-3200 | 2006-07-06 |
| 1295766152 | Theresa Oakland | Counselor | 802 Main St Ste C, Polson, MT 59860-3200 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551538 | Kim Dalene Harding | Counselor | 35592 Rocky Point Rd, Polson, MT 59860-9254 | 2018-06-13 |
| 1407215577 | Faith Ann Tallwhiteman | Counselor | 1201 Main St Ste B, Polson, MT 59860-5328 | 2016-02-18 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| 1518944917 | Kathe Mcgehee Randle | Counselor | 28 Litler Ln, Polson, MT 59860-9654 | 2005-12-27 |
| 1669026571 | Timothy Fox | Counselor | 802 Main St Ste C, Polson, MT 59860-3200 | 2019-07-29 |
| 1386209401 | Ruben Quintana | Counselor | 302 1st St W Ste 203, Polson, MT 59860-2602 | 2019-05-03 |
| 1912407198 | Shaunda Marie Albert | Counselor | 302 1st St W Ste 203, Polson, MT 59860-2602 | 2018-02-14 |
| 1093258790 | April Brewer | Counselor | 802 Main St Ste C, Polson, MT 59860-3200 | 2016-11-29 |
| 1952634883 | Kristi Johnson | Counselor | 802 Main St, Suite C, Polson, MT 59860-3201 | 2009-09-10 |
| Find all providers in POLSON | ||||
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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.