Individual provider Active NPI

Amie Laurayne Havner, MS, LCPC

  • Professional Counselor
  • Billings, MT
National Provider Identifier
1013423573
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
27101 Issued in MT
Practice address
1411 Main St Ste B-C
Billings, MT 59105-1712
Phone
(406) 969-5183
Fax
(406) 281-8308
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 27101 MT
Professional Counselor 101YP2500X 27101 MT Primary

Addresses

Primary practice location

1411 Main St Ste B-C
Billings, MT 59105-1712

Mailing address

1540 Lake Elmo Dr Ste 6
Billings, MT 59105-1798
Phone (406) 969-5183

Other practice location 1

1540 Lake Elmo Dr Ste 6
Billings, MT 59105-1798
Phone (406) 969-5183

Other identifiers 1

IdentifierTypeStateIssuer
27101OtherMTLCPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260506000108 MT Practitioner - Mental Health Counselor 0244708576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossway IncorporatedGroup PAC ID 0749659092, 6 clinicians

Practice addresses (Care Compare)

1411 Main St
Suite B C
Billings, MT 59105-1712
Phone (406) 969-5183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
27101MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossway Incorporated Mental Health CurrentSince Sep 7, 2022 Accepting new patients

Locations

1411 Main St
Ste Bc
Billings, MT 59105
Phone (406) 969-5183

1540 Lake Elmo Dr
Ste 6
Billings, MT 59105
Phone (406) 969-5183

Organizations & group practices 1

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": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1013423573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LAKE ELMO DR STE 6",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051798",
            "telephone_number": "406-969-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MAIN ST STE B-C",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051712",
            "telephone_number": "406-969-5183",
            "fax_number": "406-281-8308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Lake Elmo Dr Ste 6",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591051798",
            "country_code": "US",
            "telephone_number": "406-969-5183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVNER",
        "first_name": "AMIE",
        "middle_name": "LAURAYNE",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "27101",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "27101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "27101",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.