Individual provider Active NPI

Kirsten Theresa Burkart, LCPC

  • Professional Counselor
  • Bozeman, MT
National Provider Identifier
1114524956
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-37561 Issued in MT
Practice address
676 S Ferguson Ave Ste 1
Bozeman, MT 59718-1951
Phone
(406) 209-5777
NPI assigned
Oct 5, 2020
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X BBH-LCPC-LIC-37561
Professional Counselor 101YP2500X BBH-LCPC-LIC-37561 MT Primary

Addresses

Primary practice location

676 S Ferguson Ave Ste 1
Bozeman, MT 59718-1951

Mailing address

676 S Ferguson Ave
Bozeman, MT 59718-1952
Phone (406) 209-5777

Other identifiers 1

IdentifierTypeStateIssuer
BBH-LCPC-LIC-37561OtherMTLCPC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL wmmhc.org

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-37561MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Montana Mental Health Center Professional CurrentSince Oct 1, 2020 Accepting new patients

Locations

699 Farmhouse Ln
Bozeman, MT 59715
Phone (406) 522-7357

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1114524956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 S FERGUSON AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597181952",
            "telephone_number": "406-209-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S FERGUSON AVE STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597181951",
            "telephone_number": "406-209-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKART",
        "first_name": "KIRSTEN",
        "middle_name": "THERESA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-09-02",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "BBH-LCPC-LIC-37561",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-37561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "BBH-LCPC-LIC-37561",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wmmhc.org",
            "affiliation": "N",
            "address_1": "699 Farmhouse Ln",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597159402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.