Active NPI
Peter Strom, M.S. LCPC
- Professional Counselor
- Bozeman, MT
National Provider Identifier
1194840900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1207
- Practice address
- 612 E Main St
Suite B
Bozeman, MT 59715-3719 - Phone
- (406) 580-3228
- Fax
- (406) 582-7973
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1207 | MT | Primary |
Addresses
Primary practice location
612 E Main St
Suite B
Bozeman, MT 59715-3719
Mailing address
251 Southview Ridge LN
Bozeman, MT 59715-7800
Phone (406) 582-7973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 743330 | Other | MT | BLUE CROSS BLUE SHIELD MT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1207 | MT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194840900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 SOUTHVIEW RIDGE LN",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597157800",
"telephone_number": "406-582-7973",
"fax_number": "406-582-7973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 E MAIN ST",
"address_2": "SUITE B",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153719",
"telephone_number": "406-580-3228",
"fax_number": "406-582-7973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROM",
"first_name": "PETER",
"name_prefix": "Mr.",
"credential": "M.S. LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "1207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MT",
"identifier": "743330",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.