Individual provider Active NPI

Megan Elizabeth Farmer, LCPC

  • Mental Health Counselor
  • Great Falls, MT
National Provider Identifier
1114376142
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-LIC-17898 Issued in MT
Practice address
1601 2ND Ave N Ste 516
Great Falls, MT 59401-3289
Phone
(406) 285-1007
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 BBH-ACLC-LIC-50745 MT
Mental Health Counselor 101YM0800X BBH-LCPC-LIC-17898 MT Primary

Addresses

Primary practice location

1601 2ND Ave N Ste 516
Great Falls, MT 59401-3289

Mailing address

1601 2ND Ave N Ste 516
Great Falls, MT 59401-3289

Other names 1

  • Megan Elizabeth Bailly Former name

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
I20240605003208 MT Practitioner - Mental Health Counselor 7517304116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic RecoveryGroup PAC ID 2365883733, 4 clinicians

Practice addresses (Care Compare)

1601 2ND Ave N
Suite 300W
Great Falls, MT 59401-3243
Phone (406) 315-2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-ACLC-LIC-50745MTMDAddiction (Substance Use Disorder) Counselor
17898MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Recovery Addiction (Substance Use Disorder) CurrentSince Apr 16, 2024 Accepting new patients

Locations

1601 2nd Ave N
Ste 300W
Great Falls, MT 59401
Phone (406) 315-2028

1601 2nd Ave N
Ste 516
Great Falls, MT 59401
Phone (406) 285-1007

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1114376142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 516",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 516",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013289",
            "telephone_number": "406-285-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2023-07-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-ACLC-LIC-50745",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-17898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BAILLY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.