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TAZIA WISDOM PCLC
NPI 1013715234
Counselor - Mental Health in Kalispell, MT

Active since March 04, 2025PECOS Enrolled
1935 3RD AVE E, KALISPELL, MT 59901(504) 357-1773 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2026, Mar 4, 2025 (2 updates tracked since 2025).

About Tazia Wisdom Pclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAZIA WISDOM PCLC (NPI 1013715234) is an individual mental health provider in Kalispell, Montana, licensed in Montana (BBH-LCPC-LIC-87709) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013715234
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAZIA WISDOMCredential: PCLC
Location Address1935 3RD AVE EKalispell, MT 59901-5780
Mailing Address404 3rd Ave EKalispell, MT 59901-4907 · (504) 357-1773
Phone(504) 357-1773
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 4, 2025
Last NPPES UpdateApril 1, 20262 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1013715234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MT · BBH-LCPC-LIC-87709
1935 3RD AVE E, Kalispell, MT 59901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tazia Wisdom Pclc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082199948
PECOS Enrollment IDI20260522000368
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YVONNE S CHRISTOW PHARM. D, RPH
Pharmacist
1935 3RD AVE E
KALISPELL, MT 59901
Flathead County (406) 405-9974
SARAH PENCE BBH-LCPC-LIC-75632
Counselor (Mental Health)
1935 3RD AVE E
KALISPELL, MT 59901
Flathead County (406) 607-4900
HUNTER D. MENA LCSW
Social Worker (Clinical)
1935 3RD AVE E
KALISPELL, MT 59901
Flathead County (406) 491-1603
FLATHEAD COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1935 3RD AVE E
KALISPELL, MT 59901
Flathead County (406) 751-8108
ALEXANDRA TOMLINSON-NOWAK
Nurse Practitioner (Family)
1935 3RD AVE E
KALISPELL, MT 59901
Flathead County (406) 607-4900
MIRANDA F SANDERSON
Counselor (Mental Health)
1935 3RD AVE E
KALISPELL, MT 59901
Flathead County (406) 607-4900
BAILEY BUCHER APRN
Nurse Practitioner
1935 3RD AVE E
KALISPELL, MT 59901
Flathead County (406) 607-4900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tazia Wisdom's NPI number?

The NPI number for Tazia Wisdom is 1013715234. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Tazia Wisdom located?

Tazia Wisdom practices at 1935 3rd Ave E, Kalispell, MT 59901. The listed phone number is (504) 357-1773.

What is Tazia Wisdom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tazia Wisdom enrolled in Medicare?

Yes. Tazia Wisdom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tazia Wisdom was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.