Nicolette Green
Individual provider Active NPI Mental Health Counselor · Bozeman, MT
NPI 1194435792 · NPPES record last updated Dec 14, 2022
Key facts
- NPI
- 1194435792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 59635 (MT)
- Practice address
- 2246 Boothill CT Ste 3
Bozeman, MT 59715-7213 - Phone
- (406) 579-4984
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
90 W Madison Ave
Belgrade, MT 59714-3955
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260225002454 | MT | Practitioner - Mental Health Counselor | 6002397239 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59635 | MT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Consulting Solutions | Current |
Accepting new patients |
Locations
201 W Madison Ave
Bldg 1
Belgrade, MT 59714
Phone (458) 285-5779
90 W Madison Ave
Ste E306
Belgrade, MT 59714
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 59635 | MT | Yes |
Addresses
Primary practice location
2246 Boothill CT Ste 3
Bozeman, MT 59715-7213
Mailing address
2246 Boothill CT Ste 3
Bozeman, MT 59715-7213
Phone (406) 579-4984
Other names
- Alex Green
Other providers in Bozeman, MT
- Greater Impact Inc
- Green Flag, PC
- Jeffrey Scott Green
- Joan Marie Green
- Kaylie Green
- William Roper Green
- Joanna Greenbaum
- Gregory J Moos DDS PC
- Jennifer Gribble
- Jessica Badaracco Griffel
All providers in Bozeman, MT · Mental Health Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.