Individual provider Active NPI

Mariah Vanaken Gipson

  • Professional Counselor
  • Billings, MT
National Provider Identifier
1124778303
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-55188 Issued in MT
Practice address
1411 Eldorado Dr
Billings, MT 59101-3108
Phone
(406) 850-0517
NPI assigned
Mar 28, 2022
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 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 BBH-LCPC-LIC-55188 MT Primary

Addresses

Primary practice location

1411 Eldorado Dr
Billings, MT 59101-3108

Mailing address

1411 Eldorado Dr
Billings, MT 59101-3108
Phone (406) 850-0517

Other identifiers 1

IdentifierTypeStateIssuer
18199520192122196900MedicaidMT

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
I20251231001940 MT Practitioner - Mental Health Counselor 8628564416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

205 E Park Ave
Anaconda, MT 59711-2340

264 Cobblestone LN
McDonough, GA 30252-6254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-55188MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aware Inc CurrentSince Oct 18, 2025 Accepting new patients

Locations

205 E Park Ave
Anaconda, MT 59711
Phone (406) 563-8117

1050 S 25th St W
Billings, MT 59102
Phone (406) 656-0928

1050 S 25th St W
Ste 2
Billings, MT 59102
Phone (406) 325-2208

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1124778303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 ELDORADO DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591013108",
            "telephone_number": "406-850-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 ELDORADO DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591013108",
            "telephone_number": "406-850-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANAKEN GIPSON",
        "first_name": "MARIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-55188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18199520192122196900",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.