Individual provider Active NPI

Nicole Jensen, LCPC

  • Mental Health Counselor
  • Billings, MT
National Provider Identifier
1164857975
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4671 Issued in MT
Practice address
3021 6TH Ave N
Ste 110
Billings, MT 59101-1145
Phone
(406) 697-6406
Fax
(406) 254-1674
NPI assigned
Sep 11, 2013
Last updated
Sep 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4671 MT Primary

Addresses

Primary practice location

3021 6TH Ave N
Ste 110
Billings, MT 59101-1145

Mailing address

PO Box 21352
Billings, MT 59104-1352
Phone (406) 697-6406

Other names 1

  • Nicole Keltner Former name

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
I20250123002362 MT Practitioner - Mental Health Counselor 3971032772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4671MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Jensen Counseling PC CurrentSince Dec 22, 2024 Accepting new patients

Locations

1131 N 27th St
Ste B
Billings, MT 59101
Phone (406) 672-3353

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": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1164857975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21352",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591041352",
            "telephone_number": "406-697-6406",
            "fax_number": "406-254-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 6TH AVE N",
            "address_2": "STE 110",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011145",
            "telephone_number": "406-697-6406",
            "fax_number": "406-254-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "NICOLE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "4671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KELTNER",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.