Individual provider Active NPI

Kim Waldmann, LCPC

  • Professional Counselor
  • Billings, MT
National Provider Identifier
1023473394
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15795 Issued in MT
Practice address
1220 Avenue C
Ste C
Billings, MT 59102-3200
Phone
(406) 371-3399
NPI assigned
Dec 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15795 MT Primary

Addresses

Primary practice location

1220 Avenue C
Ste C
Billings, MT 59102-3200

Mailing address

PO Box 50186
Billings, MT 59105-0186
Phone (406) 371-3399

Other practice location 1

1220 Avenue C Apt C
Billings, MT 59102-3200
Phone (406) 371-3399

Other practice location 2

3225 1st Ave N
Billings, MT 59101-2104
Phone (406) 371-3399

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
I20240626002608 MT Practitioner - Mental Health Counselor 0244774636 Practice locations: Billings, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

710 Grand Ave
Suite 7
Billings, MT 59101-5852
Phone (406) 371-3399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15795MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kim C Waldmann LCPC PLLC Professional CurrentSince Apr 11, 2024 Accepting new patients

Locations

710 Grand Ave
Ste 7
Billings, MT 59101
Phone (406) 371-3399

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1023473394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50186",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591050186",
            "telephone_number": "406-371-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 AVENUE C",
            "address_2": "STE C",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023200",
            "telephone_number": "406-371-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Avenue C Apt C",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591023200",
            "country_code": "US",
            "telephone_number": "406-371-3399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3225 1st Ave N",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591012104",
            "country_code": "US",
            "telephone_number": "406-371-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDMANN",
        "first_name": "KIM",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "15795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.