Active NPI
Heidi Davis, LCPC
- Professional Counselor
- Missoula, MT
National Provider Identifier
1033249206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 765
- Practice address
- 10633 Oral Zumwalt Way
Missoula, MT 59803-9789 - Phone
- (406) 360-3723
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 765 | MT | |
| Professional Counselor | 101YP2500X | 765 | MT | Primary |
Addresses
Primary practice location
10633 Oral Zumwalt Way
Missoula, MT 59803-9789
Mailing address
10633 Oral Zumwalt Way
Missoula, MT 59803-9789
Phone (406) 360-3723
Other practice location 1
1121 S White Ave
Red Lodge, MT 59068-9056
Phone (406) 360-3723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0257227 | Medicaid | MT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251219000869 | MT | Practitioner - Mental Health Counselor | 9234386012 | Practice locations: Missoula, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Missoula, MT 59803
Phone (406) 360-3723
10633 Oral Zumwalt Way
Missoula, MT 59803-9789
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 765 | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1033249206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10633 ORAL ZUMWALT WAY",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598039789",
"telephone_number": "406-360-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10633 ORAL ZUMWALT WAY",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598039789",
"telephone_number": "406-360-3723"
}
],
"practiceLocations": [
{
"address_1": "1121 S White Ave",
"address_purpose": "LOCATION",
"city": "Red Lodge",
"state": "MT",
"postal_code": "590689056",
"country_code": "US",
"telephone_number": "406-360-3723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "HEIDI",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "765",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0257227",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.