Individual provider Active NPI

Jennifer Weisen, LCPC, LAC

  • Professional Counselor
  • Billings, MT
National Provider Identifier
1053950527
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
48912 Issued in MT
Practice address
490 N 31St St Ste 115
Billings, MT 59101-1256
Phone
(406) 534-9167
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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
Professional Counselor 101YP2500X 48912 MT Primary

Addresses

Primary practice location

490 N 31St St Ste 115
Billings, MT 59101-1256

Mailing address

1190 El Rancho Dr
Billings, MT 59105-5431
Phone (406) 697-8476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48912MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JMW Counseling LLC CurrentSince Jan 5, 2020 Accepting new patients

Locations

490 N 31st St
Ste 115
Billings, MT 59101
Phone (406) 534-9167

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1053950527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 EL RANCHO DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591055431",
            "telephone_number": "406-697-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 N 31ST ST STE 115",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011256",
            "telephone_number": "406-534-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISEN",
        "first_name": "JENNIFER",
        "credential": "LCPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "48912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.