Medicine Lodge Counseling PLLC
NPI 1619465788ActiveOrganization· Counselor, Professional· Missoula, MT
Counselor, Professional in Missoula, Montana, registered in NPPES in April 2018. The authorized official on file is Pamela C. Wilson, LCPC LAC, Clinical Mental Health Counselor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619465788 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2018 |
| Last updated in NPPES | Jun 16, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 4654 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MT) |
|---|
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