NPIMap

Organization Active NPI

Advanced Counseling Bozeman

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1205313806
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ADVANCED COUNSELING BOZEMAN
Practice address
1924 W. Stevens St. Suite 202
Bozeman, MT 59718
Phone
(406) 595-3746
Fax
(406) 578-1363
NPI assigned
Jul 26, 2018
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Erin N Clark, MSW, LCSWNPI 1801241963
Title
Owner
Phone
(406) 595-3746

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 30112 MT
Mental Health Counselor 101YM0800X 30112 MT
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1924 W. Stevens St. Suite 202
Bozeman, MT 59718

Mailing address

P.O. Box 4734
Bozeman, MT 59772
Phone (406) 595-3746

National Provider Directory

National Provider Directory

Locations

1924 W Stevens St
Ste 202
Bozeman, MT 59718
Phone (406) 404-6870

300 N Willson Ave
Ste 3005-10
Bozeman, MT 59715
Phone (406) 595-3746

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1205313806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4734",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59772",
            "telephone_number": "406-595-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 W. STEVENS ST. SUITE 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59718",
            "telephone_number": "406-595-3746",
            "fax_number": "406-578-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COUNSELING BOZEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-595-3746",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MT",
            "license": "30112",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "30112",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.