Individual provider Active NPI

Rebekah N Coonen, LCPC, LAC

  • Professional Counselor
  • Helena, MT
National Provider Identifier
1013543339
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-43993 Issued in MT
Practice address
1930 9TH Ave
Helena, MT 59601-4759
Phone
(406) 457-0000
Fax
(406) 500-2128
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-LAC-LIC-63796 MT
Professional Counselor 101YP2500X BBH-LCPC-LIC-43993 MT Primary

Addresses

Primary practice location

1930 9TH Ave
Helena, MT 59601-4759

Mailing address

1930 9TH Ave
Helena, MT 59601-4759
Phone (406) 457-0000

Other identifiers 3

IdentifierTypeStateIssuer
BBH-LAC-LIC-63796OtherMTMONTANA BOARD OF BEHAVIORAL HEALTH
14609602OtherCAQH PROVIEW
BBH-LCPC-LIC-43993OtherMTMONTANA BOARD OF BEHAVIORAL HEALTH

Other names 1

  • Rebekah Davis Former name

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
I20240117004628 MT Practitioner - Mental Health Counselor 7618329368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pureview Health CenterGroup PAC ID 3678487394, 22 clinicians

Practice addresses (Care Compare)

1930 9TH Ave
Helena, MT 59601-4759
Phone (406) 457-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LAC-LIC-63796MTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pureview Health Center Current Accepting new patients
Pureview Health Center CurrentSince Jan 1, 2024 Accepting new patients
Pureview Health Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

630 N Last Chance Gulch
Ste 1100
Helena, MT 59601
Phone (406) 646-2522

1930 9th Ave
Helena, MT 59601
Phone (406) 457-8905

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJDGAA/Endpoint/IJDGAA

Organizations & group practices 3

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": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1013543339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 9TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014759",
            "telephone_number": "406-457-0000",
            "fax_number": "406-500-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 9TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014759",
            "telephone_number": "406-457-0000",
            "fax_number": "406-500-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEN",
        "first_name": "REBEKAH",
        "middle_name": "N",
        "credential": "LCPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-63796",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-43993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA BOARD OF BEHAVIORAL HEALTH",
            "identifier": "BBH-LAC-LIC-63796",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIEW",
            "identifier": "14609602",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA BOARD OF BEHAVIORAL HEALTH",
            "identifier": "BBH-LCPC-LIC-43993",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "DAVIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.