Individual provider Active NPI

Destiny Freiburg

  • Professional Counselor
  • Great Falls, MT
National Provider Identifier
1124519491
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBHLCPCLIC30217
Practice address
1601 2ND Ave N Ste 450F
Great Falls, MT 59401-3259
Phone
(406) 465-0963
NPI assigned
May 22, 2018
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X BBHLCPCLIC30217 Primary

Addresses

Primary practice location

1601 2ND Ave N Ste 450F
Great Falls, MT 59401-3259

Mailing address

1601 2ND Ave N Ste 450F
Great Falls, MT 59401-3259
Phone (406) 465-0963

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
I20250805001543 MT Practitioner - Mental Health Counselor 1850809476 Practice locations: Great Falls, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 2ND Ave N
Great Falls, MT 59401-3259
Phone (406) 465-0963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transcendence Counseling PastSince Feb 2, 2020 Accepting new patients
Transcendence Counseling PastSince May 17, 2025 Accepting new patients

Organizations & group practices 2

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": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1124519491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 450F",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013259",
            "telephone_number": "406-465-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 450F",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013259",
            "telephone_number": "406-465-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIBURG",
        "first_name": "DESTINY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "BBHLCPCLIC30217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.