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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. TONYA M CARPENTER
NPI 1306364153
Social Worker - Clinical in Butte, MT

Active since August 31, 2017PECOS Enrolled
445 CENTENNIAL AVE, BUTTE, MT 59701(406) 723-4075(406) 496-6035 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2026, Jun 4, 2020, Dec 16, 2019 and 3 more (6 updates tracked since 2017).

About Ms. Tonya M Carpenter NPPES

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

MS. TONYA M CARPENTER (NPI 1306364153) is an individual clinical provider in Butte, Montana, licensed in Montana (BBH-LCSW-LIC-42645) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306364153
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TONYA M CARPENTER
Location Address445 CENTENNIAL AVEButte, MT 59701-2870
Mailing Address445 Centennial AveButte, MT 59701-2870 · (406) 723-4075 · Fax (406) 496-6035
Phone(406) 723-4075
Fax(406) 496-6035
Sole ProprietorNo
Enumeration DateAugust 31, 2017
Last NPPES UpdateOctober 1, 20266 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1306364153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MT · BBH-LCSW-LIC-42645
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License BBH-LAC-LIC-35105 (MT)
445 CENTENNIAL AVE, Butte, MT 59701
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Other Identifiers 3

Other35105MT · Lac
Other42645MT · Lcsw License
Medicaid633437MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tonya M Carpenter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tonya Carpenter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aware Inc
22 mi
Community/Behavioral Health
205 E PARK AVE
Anaconda, MT 59711
  • Reassigned Medicare billing, Montana enrollment
  • 75 clinicians in this Medicare group
NPI 1427003862 (406) 563-8117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.81 – $172.26
Typical copayment $0.00 (range $14.20 – $43.06)
Most-billed visit code NA
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MS. CATHERINE MARIE WHITE MD
Pediatrics
445 CENTENNIAL AVE
BUTTE, MT 59701
Silver Bow County (509) 434-0313
KATIE MCGREE PHARM D
Pharmacist
445 CENTENNIAL AVE
BUTTE, MT 59701
Silver Bow County (406) 723-4075
EMILY THOMAS DDS
Dentist (General Practice)
445 CENTENNIAL AVE
BUTTE, MT 59701
Silver Bow County (406) 496-6007
DR. KARA BANKIEWICZ DMD
Dentist (General Practice)
445 CENTENNIAL AVE
BUTTE, MT 59701
Silver Bow County (406) 723-4075
MR. HAROLD JAMES HORINE III DNP
Nurse Practitioner (Family)
445 CENTENNIAL AVE
BUTTE, MT 59701
Silver Bow County (406) 723-4075
MELANIE NELSON MD
Pediatrics
445 CENTENNIAL AVE
BUTTE, MT 59701
Silver Bow County (406) 723-4075
JENEE DARLENE PALUSO PHARMD
Pharmacist (Ambulatory Care)
445 CENTENNIAL AVE
BUTTE, MT 59701
Silver Bow County (406) 723-4075
JACI MARIE HANLEY LAC,SWLC
Counselor (Addiction (Substance Use Disorder))
445 CENTENNIAL AVE
BUTTE, MT 59701
Silver Bow County (406) 723-4075

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 Tonya Carpenter's NPI number?

The NPI number for Tonya Carpenter is 1306364153. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Where is Tonya Carpenter located?

Tonya Carpenter practices at 445 Centennial Ave, Butte, MT 59701. The listed phone number is (406) 723-4075.

What is Tonya Carpenter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tonya Carpenter enrolled in Medicare?

Yes. Tonya Carpenter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tonya Carpenter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Carpenter reassigns Medicare benefits to Aware Inc (Anaconda, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tonya Carpenter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Carpenter accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans and Providence Health Plan list Tonya Carpenter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tonya Carpenter was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.