Individual provider Active NPI

Brett E Gilleo, LCPC

  • Counselor
  • Great Falls, MT
National Provider Identifier
1063456895
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1601 2ND Ave N
Suite 342
Great Falls, MT 59401
Phone
(406) 240-2045
Fax
(406) 545-2276
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LCPC 1009 MT
Counselor 101Y00000X LCPC1009 MT
Marriage & Family Therapist 106H00000X LCPC1009 MT
Counselor 101Y00000X Primary
Behavior Analyst 103K00000X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

1601 2ND Ave N
Suite 342
Great Falls, MT 59401

Mailing address

PO Box 6451
Great Falls, MT 59406
Phone (406) 240-2045

Other identifiers 2

IdentifierTypeStateIssuer
000742490OtherMTBC BS
0256854MedicaidMT

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
LCPC 1009MTMDCounseling Psychologist
LCPC1009MTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sky Therapeutic Services, PLLC Counselor CurrentSince Feb 26, 2023 Accepting new patients

Locations

1601 2nd Ave N
Ste 700
Great Falls, MT 59401
Phone (406) 205-0452

1601 2nd Ave N
Ste 342
Great Falls, MT 59401
Phone (406) 240-2045

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1063456895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6451",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59406",
            "telephone_number": "406-240-2045",
            "fax_number": "406-545-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N",
            "address_2": "SUITE 342",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59401",
            "telephone_number": "406-240-2045",
            "fax_number": "406-545-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEO",
        "first_name": "BRETT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MT",
            "license": "LCPC 1009",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MT",
            "license": "LCPC1009",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "LCPC1009",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "000742490",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256854",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.