Individual provider Active NPI

Heidi Davis, LCPC

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1033249206
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
765 Issued in MT
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

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0257227MedicaidMT

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
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

LicenseStateTypeSpecialty
765MTMDMental 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

Verify at the official NPI Registry.