Individual provider Active NPI

Carole Bregman Paredes, LCPC

  • Professional Counselor
  • Hamilton, MT
National Provider Identifier
1174001523
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
42588 Issued in MT
Practice address
209 N 10TH St Ste a
Hamilton, MT 59840-2357
Phone
(406) 532-9101
Fax
(406) 363-4498
NPI assigned
Jul 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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 42588 MT Primary

Addresses

Primary practice location

209 N 10TH St Ste a
Hamilton, MT 59840-2357

Mailing address

163 Bowman Rd # 5
Hamilton, MT 59840-9638
Phone (406) 369-3478

Other practice location 1

163 Bowman Rd # 5
Hamilton, MT 59840-9638
Phone (406) 369-3478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42588MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Montana Mental Health Center Professional CurrentSince Feb 9, 2020 Accepting new patients

Locations

209 N 10th St
Ste A
Hamilton, MT 59840
Phone (406) 532-9101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1174001523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 BOWMAN RD # 5",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598409638",
            "telephone_number": "406-369-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N 10TH ST STE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402357",
            "telephone_number": "406-532-9101",
            "fax_number": "406-363-4498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Bowman Rd # 5",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MT",
            "postal_code": "598409638",
            "country_code": "US",
            "telephone_number": "406-369-3478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "CAROLE",
        "middle_name": "BREGMAN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-29",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "42588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.