Individual provider Active NPI

Molly McCall Damm, MS

  • Mental Health Counselor
  • Bozeman, MT
National Provider Identifier
1205311107
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
42814 Issued in MT
Practice address
1648 Ellis St Ste 302
Bozeman, MT 59715-8811
Phone
(406) 586-3301
NPI assigned
Sep 27, 2018
Last updated
Apr 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 42814 MT Primary

Addresses

Primary practice location

1648 Ellis St Ste 302
Bozeman, MT 59715-8811

Mailing address

14 S Willson Ave
Bozeman, MT 59715-6232
Phone (406) 451-7370

Other practice location 1

14 S Willson Ave
Bozeman, MT 59715-6232
Phone (406) 451-7370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 30, 2024 through Apr 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
42814MTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585958400000",
    "number": "1205311107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S WILLSON AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156232",
            "telephone_number": "406-451-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST STE 302",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158811",
            "telephone_number": "406-586-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 S Willson Ave",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156232",
            "country_code": "US",
            "telephone_number": "406-451-7370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMM",
        "first_name": "MOLLY",
        "middle_name": "MCCALL",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "42814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.