| NPI |
1023642378 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
| Entity Type Code |
2 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
| Employer Identification Number EIN |
|
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified. |
| Provider Organization Name Legal Business Name |
ASPIRE COUNSELING CENTER L.L.C. |
The name of the organization provider. If the provider is an organization, this is the legal business name. |
| Provider Other Organization Name |
CHRISTINE HURST, LCPC |
Other name by which the organization provider is or has been known. |
| Provider Other Organization Name Type Code |
3 |
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional
name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other. |
| Provider First Line Business Practice Location Address |
1849 N BELMAR DR |
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional
name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other. |
| Provider Business Practice Location Address City Name |
KALISPELL |
The city name in the location address of the provider being identified. |
| Provider Business Practice Location Address State Name |
MT |
The city name in the location address of the provider being identified. |
| Provider Business Practice Location Address Postal Code |
599018922 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
| Provider Business Practice Location Address Country Code If outside U S |
US |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
| Provider Business Practice Location Address Telephone Number |
4062198689 |
The telephone number associated with the location address of the provider being identified. |
| Provider Enumeration Date |
2/26/2020 |
The telephone number associated with the location address of the provider being identified. |
| Last Update Date |
1/26/2024 |
The date that a record was last updated or changed. |
| Authorized Official Last Name |
HURST |
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. |
| Authorized Official First Name |
CHRISTINE |
The first name of the authorized official. |
| Authorized Official Title or Position |
OWNER |
The title or position of the authorized official. |
| Authorized Official Telephone Number |
4062198689 |
The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code 1 |
261QM0801X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
| Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
| Other Provider Identifier 1 |
7134373 |
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form. |
| Other Provider Identifier Type Code 1 |
05 |
Code indicating the type of identifier currently
or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form. |
| Other Provider Identifier State 1 |
MT |
|
| Is Organization Subpart |
N |
|
| Authorized Official Credential Text |
LCPC |
|
| NPI Certification Date |
8/30/2021 |
|