Individual provider Active NPI

Kathleen Byrne, MA, PCLC

  • Mental Health Counselor
  • Bozeman, MT
National Provider Identifier
1003655747
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-PCLC-LIC-71021 Issued in MT
Practice address
1924 W Stevens St Ste 202
Bozeman, MT 59718-7043
Phone
(065) 953-7464
Fax
(406) 578-1363
NPI assigned
May 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BBH-PCLC-LIC-71021 MT Primary

Addresses

Primary practice location

1924 W Stevens St Ste 202
Bozeman, MT 59718-7043

Mailing address

PO Box 4734
Bozeman, MT 59772-4734
Phone (406) 595-3746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
BBH-PCLC-LIC-71021MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling Bozeman Mental Health CurrentSince Sep 23, 2024 Accepting new patients
Byrne Inner Cadence Counseling CurrentSince Nov 24, 2025 Accepting new patients

Locations

1924 W Stevens St
Ste 202
Bozeman, MT 59718
Phone (406) 404-3638

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1003655747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4734",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597724734",
            "telephone_number": "406-595-3746",
            "fax_number": "406-578-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 W STEVENS ST STE 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187043",
            "telephone_number": "065-953-7464",
            "fax_number": "406-578-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "KATHLEEN",
        "credential": "MA, PCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-PCLC-LIC-71021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.