Active NPI
Destination Zen
- Professional Counselor
- Billings, MT
National Provider Identifier
1154979037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- DESTINATION ZEN
- Practice address
- 100 Emerald Dr Ste 1
Billings, MT 59105-3063 - Phone
- (406) 534-6310
- NPI assigned
- Sep 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Malisa Fitzpatrick, LCPC, LAC
- Title
- Owner/Clinician
- Phone
- (406) 390-3444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
100 Emerald Dr Ste 1
Billings, MT 59105-3063
Mailing address
100 Emerald Dr Ste 1
Billings, MT 59105-3063
Phone (406) 534-6310
National Provider Directory
National Provider DirectoryLocations
100 Emerald Dr
Ste 1
Billings, MT 59105
Phone (406) 534-6310
1140 1st Ave N
Ste 215
Billings, MT 59101
Phone (406) 390-0203
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Billings, MT
- NPI 1437711546
-
- Mental Health Counselor
- Billings, MT
- NPI 1629630322
-
- Professional Counselor
- Billings, MT
- NPI 1770047524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695254400000",
"number": "1154979037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EMERALD DR STE 1",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591053063",
"telephone_number": "406-534-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EMERALD DR STE 1",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591053063",
"telephone_number": "406-534-6310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESTINATION ZEN",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-03",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A",
"authorized_official_last_name": "FITZPATRICK",
"authorized_official_first_name": "MALISA",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "406-390-3444",
"authorized_official_credential": "LCPC, LAC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.