Active NPI
Mindful Healing Therapy and Recovery, LLC
- Professional Counselor
- Bozeman, MT
National Provider Identifier
1003694548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MINDFUL HEALING THERAPY AND RECOVERY, LLC
- Practice address
- 1174 Stoneridge Dr Ste 304
Bozeman, MT 59718-9850 - Phone
- (406) 414-7055
- NPI assigned
- Sep 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robyn Carr, LCPC, LAC, LMFT
- Title
- Owner
- Phone
- (406) 414-7055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
1174 Stoneridge Dr Ste 304
Bozeman, MT 59718-9850
Mailing address
483 Talon Way
Bozeman, MT 59718-9816
Phone (406) 414-7055
National Provider Directory
National Provider DirectoryLocations
1174 Stoneridge Dr
Ste 304
Bozeman, MT 59718
Phone (406) 414-7055
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Bozeman, MT
- NPI 1447517347
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698883200000",
"number": "1003694548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 TALON WAY",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597189816",
"telephone_number": "406-414-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1174 STONERIDGE DR STE 304",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597189850",
"telephone_number": "406-414-7055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL HEALING THERAPY AND RECOVERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-18",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A",
"authorized_official_last_name": "CARR",
"authorized_official_first_name": "ROBYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-414-7055",
"authorized_official_credential": "LCPC, LAC, LMFT"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"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 Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.