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JOHN KENNAN DONALD LCSW, LAC
NPI 1952521775
Social Worker - Clinical in Missoula, MT

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment
85.43/100
CMS Quality Rating
900 N ORANGE ST STE 102, MISSOULA, MT 59802(406) 327-3034(406) 327-3385 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2026, Nov 14, 2018 (2 updates tracked since 2018).

About John Kennan Donald Lcsw, Lac NPPES

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

JOHN KENNAN DONALD LCSW, LAC (NPI 1952521775) is an individual clinical provider in Missoula, Montana, licensed in Montana (934) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1952521775
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN KENNAN DONALDCredential: LCSW, LAC
Location Address900 N ORANGE ST STE 102Missoula, MT 59802-2951
Mailing Address900 N Orange St Ste 102Missoula, MT 59802-2951 · (406) 327-3034 · Fax (406) 327-3385
Phone(406) 327-3034
Fax(406) 327-3385
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 26, 2007
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1952521775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MT · 934✔ Licensed in OR · L17690
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 1193 (MT)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 548 (MT)
900 N ORANGE ST STE 102, Missoula, MT 59802
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15228 NE Hoyt StPortland, OR 97213-3055 · Phone (503) 215-4860
Location 21325 Wyoming StMissoula, MT 59801-1725 · Phone (406) 532-9800 · Fax (406) 541-3032

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Kennan Donald Lcsw, Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375675994
PECOS Enrollment IDI20100717000271, I20260331004200
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 Reassignments

4

Medicare enrollment records show John Donald reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Mt
Same address
Rehabilitation Unit
900 N ORANGE ST
Missoula, MT 59802
  • Reassigned Medicare billing, Montana enrollment
  • 325 clinicians in this Medicare group
NPI 1144319138 (406) 329-5790
Providence Health & Services - Oregon
355 mi
Otolaryngology
1815 E 19TH ST, SUITE 1
The Dalles, OR 97058
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1083963573 (541) 298-5563
Providence Health & Services - Oregon
424 mi
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
NPI 1003991845 (503) 451-3000
Providence Health & Services - Oregon
431 mi
Clinic/Center
9205 SW BARNES RD, SUITE 20
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
NPI 1235259532 (503) 216-2229

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
145 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59802 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.98
Promoting Interoperability100
Improvement Activities40
Cost65.45

Other Providers at the Same Location NPPES 10

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

MRS. KATHERINE CHOQUETTE GJELTEN LCSW
Social Worker (Clinical)
900 N ORANGE ST STE 102
MISSOULA, MT 59802
Missoula County (406) 327-3034
KIMBERLY NOTTESTAD LCSW
Social Worker (Clinical)
900 N ORANGE ST STE 102
MISSOULA, MT 59802
Missoula County (406) 327-3034
MRS. EMILY ANNE MCCREA PLOYHAR MA, LCPC
Counselor (Professional)
900 N ORANGE ST STE 102
MISSOULA, MT 59802
Missoula County (406) 327-3034
JESSICA LYNN WHITNEY LCSW
Social Worker (Clinical)
900 N ORANGE ST STE 102
MISSOULA, MT 59802
Missoula County (406) 327-3034
YVETTE HEINTZ
Social Worker (Clinical)
900 N ORANGE ST STE 102
MISSOULA, MT 59802
Missoula County (406) 327-3034
SABRINA SKINNER
Social Worker (Clinical)
900 N ORANGE ST STE 102
MISSOULA, MT 59802
Missoula County (406) 327-3034
MARGARET MAYFIELD LCSW
Social Worker (Clinical)
900 N ORANGE ST STE 102
MISSOULA, MT 59802
Missoula County (406) 327-3034
MICHALE MCLEAN LCSW
Social Worker (Clinical)
900 N ORANGE ST STE 102
MISSOULA, MT 59802
Missoula County (406) 327-3034

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 John Donald's NPI number?

The NPI number for John Donald is 1952521775. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is John Donald located?

John Donald practices at 900 N Orange St Ste 102, Missoula, MT 59802. The listed phone number is (406) 327-3034.

What is John Donald's specialty?

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

Is John Donald enrolled in Medicare?

Yes. John Donald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for John Donald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Donald reassigns Medicare benefits to 4 organizations: Providence Health & Services Mt (Missoula, MT), Providence Health & Services - Oregon (The Dalles, OR), Providence Health & Services - Oregon (Portland, OR) and Providence Health & Services - Oregon (Portland, OR). Each 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 John Donald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Donald accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list John Donald 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 John Donald was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.