Organization Active NPI

Stephanie Nelson PLLC

  • Professional Counselor
  • East Helena, MT
National Provider Identifier
1124764956
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
STEPHANIE NELSON PLLC
Practice address
2765 Wylie Dr TRLR 80
East Helena, MT 59635-3057
Phone
(406) 410-1860
NPI assigned
May 5, 2022
Last updated
May 5, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
STEPHANIE NELSON PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Stephanie Nelson, LCPC
Title
Owner
Phone
(406) 410-1860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2765 Wylie Dr TRLR 80
East Helena, MT 59635-3057

Mailing address

2765 Wylie Dr TRLR 75
East Helena, MT 59635-3057
Phone (406) 410-1860

Other identifiers 1

IdentifierTypeStateIssuer
708942MedicaidMT

National Provider Directory

National Provider Directory
Part of
Stephanie Nelson PLLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1124764956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 WYLIE DR TRLR 75",
            "city": "EAST HELENA",
            "state": "MT",
            "postal_code": "596353057",
            "telephone_number": "406-410-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 WYLIE DR TRLR 80",
            "city": "EAST HELENA",
            "state": "MT",
            "postal_code": "596353057",
            "telephone_number": "406-410-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE NELSON PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHANIE NELSON PLLC",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-410-1860",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "708942",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.