Active NPI
Jennifer Bain
- Counselor
- Bozeman, MT
National Provider Identifier
1124485586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- SWPLCPCLIC4673
- Practice address
- 1996 Little Cottage LN Apt 9
Bozeman, MT 59715-9440 - Phone
- (406) 586-7689
- Fax
- (406) 586-0263
- NPI assigned
- Jan 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SWPLCPCLIC4673 | MT | Primary |
Addresses
Primary practice location
1996 Little Cottage LN Apt 9
Bozeman, MT 59715-9440
Mailing address
PO Box 752
Bozeman, MT 59771-0752
Phone (406) 586-7689
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
| License | State | Type | Specialty |
|---|---|---|---|
| SWPLCPCLIC4673 | MT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haven | Counselor | Past | Accepting new patients |
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.
-
- Counselor
- Bozeman, MT
- NPI 1578920120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1124485586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 752",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597710752",
"telephone_number": "406-586-7689",
"fax_number": "406-586-0263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1996 LITTLE COTTAGE LN APT 9",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597159440",
"telephone_number": "406-586-7689",
"fax_number": "406-586-0263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIN",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-15",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MT",
"license": "SWPLCPCLIC4673",
"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 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.