Individual provider Active NPI

Elizabeth Jean Bronec, LCPC

  • Professional Counselor
  • Helena, MT
National Provider Identifier
1205800281
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1200 LCPC Issued in MT
Practice address
111 N Last Chance Gulch St
Suite 2a
Helena, MT 59601-4125
Phone
(406) 443-1990
Fax
(406) 443-1391
NPI assigned
Feb 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1200 LCPC MT Primary

Addresses

Primary practice location

111 N Last Chance Gulch St
Suite 2a
Helena, MT 59601-4125

Mailing address

800 Breckenridge St
Helena, MT 59601-4432
Phone (406) 443-5377

Other identifiers 2

IdentifierTypeStateIssuer
0000742560OtherMTBLUE CROSS/SHIELD OF MONT
0257278MedicaidMT

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

LicenseStateTypeSpecialty
1200 LCPCMTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine M Flynn PSYD PLLC PastSince Oct 22, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205800281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BRECKENRIDGE ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014432",
            "telephone_number": "406-443-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N LAST CHANCE GULCH ST",
            "address_2": "SUITE 2A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014125",
            "telephone_number": "406-443-1990",
            "fax_number": "406-443-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONEC",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "1200 LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD OF MONT",
            "identifier": "0000742560",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257278",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, 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.

Verify at the official NPI Registry.