NPIMap

Organization Active NPI

Ncenter, LLC

  • Mental Health Counselor
  • Bozeman, MT
National Provider Identifier
1124435730
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
326 Issued in MT
Legal business name
NCENTER, LLC
Practice address
1001 W Oak St Ste 205
Bozeman, MT 59715-8757
Phone
(406) 599-2492
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Ms. Demetri Jan Matney, LCPCNPI 1700184967
Title
Director
Phone
(406) 599-2492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 326 MT Primary

Addresses

Primary practice location

1001 W Oak St Ste 205
Bozeman, MT 59715-8757

Mailing address

119 W Cleveland St
Bozeman, MT 59715-5205
Phone (406) 599-2492

Other practice location 1

2050 Fairway Dr
Suite 107
Bozeman, MT 59715-5806
Phone (406) 599-2492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160502000179 MT Part B Supplier - Clinic/Group Practice 0547569204 Receives reassigned benefits from 10 practitioners
Practice locations: Bozeman, MT; Kalispell, MT

National Provider Directory

National Provider Directory

Locations

2050 Fairway Dr
Ste 108
Bozeman, MT 59715
Phone (406) 570-9887

1001 W Oak St
Ste 205
Bozeman, MT 59715
Phone (406) 581-1138

1507 1st Ave W
Ste F
Kalispell, MT 59901
Phone (406) 253-1807

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1124435730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W CLEVELAND ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155205",
            "telephone_number": "406-599-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W OAK ST STE 205",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158757",
            "telephone_number": "406-599-2492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Fairway Dr",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597155806",
            "country_code": "US",
            "telephone_number": "406-599-2492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NCENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "MATNEY",
        "authorized_official_first_name": "DEMETRI",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "406-599-2492",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.