Blue River Counseling, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

BLUE RIVER COUNSELING, LLC

Practice address

602 S Ferguson Ave Ste 6
Bozeman, MT 59718-6483

Phone

(406) 261-4032

NPI assigned

Aug 13, 2024

Last updated

Aug 13, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Nolt, LCPCNPI 1750977484

Title

Owner

Phone

(406) 261-4032

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Nolt, LCPC

  • Professional Counselor
  • Bozeman, MT
  • NPI 1750977484
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1003647736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3614",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597723614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S FERGUSON AVE STE 6",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186483",
            "telephone_number": "406-261-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIVER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "NOLT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-261-4032",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.