Individual provider Active NPI

Hailey O'Brien, LCPC

  • Professional Counselor
  • Anaconda, MT
National Provider Identifier
1124838073
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-72775 Issued in MT
Practice address
205 E Park Ave
Anaconda, MT 59711-2340
Phone
(406) 563-8117
NPI assigned
Jan 13, 2025
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 72775 MT
Professional Counselor 101YP2500X BBH-LCPC-LIC-72775 MT Primary

Addresses

Primary practice location

205 E Park Ave
Anaconda, MT 59711-2340

Mailing address

205 E Park Ave
Anaconda, MT 59711-2340
Phone (406) 563-8117

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
I20260402002338 MT Practitioner - Mental Health Counselor 9931684388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
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
72775MTMDMental Health Counselor
BBH-LCPC-LIC-72775MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aware Inc CurrentSince Jan 19, 2025 Accepting new patients

Locations

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

3360 10th Ave S
Great Falls, MT 59405
Phone (405) 563-8117

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": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1124838073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112340",
            "telephone_number": "406-563-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112340",
            "telephone_number": "406-563-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "HAILEY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "72775",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-72775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

Verify at the official NPI Registry.