Active NPI
Bear Creek Counseling, LLC
- Clinical Social Worker
- Stevensville, MT
National Provider Identifier
1205300894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BEAR CREEK COUNSELING, LLC
- Practice address
- 115 W 3Rd St Ste 107
Stevensville, MT 59870-2034 - Phone
- (406) 396-6283
- NPI assigned
- Jan 16, 2019
- Last updated
- Jan 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrienne Elizabeth Gross, LCSW
- Title
- Therapist
- Phone
- (406) 396-6283
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
115 W 3Rd St Ste 107
Stevensville, MT 59870-2034
Mailing address
115 W 3Rd St Ste 107
Stevensville, MT 59870-2034
Phone (406) 396-6283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
115 W 3rd St
Ste 107
Stevensville, MT 59870
Phone (406) 370-8341
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Stevensville, MT
- NPI 1659870079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547596800000",
"number": "1205300894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W 3RD ST STE 107",
"city": "STEVENSVILLE",
"state": "MT",
"postal_code": "598702034",
"telephone_number": "406-396-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W 3RD ST STE 107",
"city": "STEVENSVILLE",
"state": "MT",
"postal_code": "598702034",
"telephone_number": "406-396-6283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAR CREEK COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-16",
"last_updated": "2019-01-16",
"status": "A",
"authorized_official_last_name": "GROSS",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "406-396-6283",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stevensville, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.