Individual provider Active NPI

Donna Marie Kelsch, EDD

  • School Psychologist
  • Bozeman, MT
National Provider Identifier
1174777221
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
804 N 19TH Ave
Bozeman, MT 59718-6928
Phone
(406) 404-1009
Fax
(480) 773-8386
NPI assigned
Nov 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
School Psychologist 103TS0200X Primary

Addresses

Primary practice location

804 N 19TH Ave
Bozeman, MT 59718-6928

Mailing address

804 N 19TH Ave
Bozeman, MT 59718-6928
Phone (406) 404-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260212002766 MT Practitioner - Mental Health Counselor 0547749400 Reassigns benefits to 1 organization
I20260421001232 PA Practitioner - Mental Health Counselor 0547749400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12875 Route 30
Suite 21
North Huntingdon, PA 15642

804 N 19TH Ave
Bozeman, MT 59718-6929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Therapy PA LLC CurrentSince Sep 28, 2025 Accepting new patients
Tri Therapy Clinic LLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

804 N 19th Ave
Ste 2A
Bozeman, MT 59718
Phone (406) 404-1009

12875 Route 30
Ste 21
North Huntingdon, PA 15642

Organizations & group practices 2

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": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1174777221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N 19TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186928",
            "telephone_number": "406-404-1009",
            "fax_number": "480-773-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N 19TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186928",
            "telephone_number": "406-404-1009",
            "fax_number": "480-773-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSCH",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.