Individual provider Active NPI

Kristine Renee Price, LCPC

  • Mental Health Counselor
  • Bozeman, MT
National Provider Identifier
1215635552
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
62410 Issued in MT
Practice address
37 E Main St Ste 9
Bozeman, MT 59715-4739
Phone
(406) 589-6095
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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 62410 MT Primary

Addresses

Primary practice location

37 E Main St Ste 9
Bozeman, MT 59715-4739

Mailing address

37 E Main St Ste 9
Bozeman, MT 59715-4739
Phone (406) 589-6095

Other practice location 1

3301 Deer Creek Drive
Bozeman, MT 59715
Phone (360) 927-7510

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
62410MTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1215635552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 E MAIN ST STE 9",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154739",
            "telephone_number": "406-589-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E MAIN ST STE 9",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154739",
            "telephone_number": "406-589-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Deer Creek Drive",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "59715",
            "country_code": "US",
            "telephone_number": "360-927-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KRISTINE",
        "middle_name": "RENEE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "62410",
            "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 Mar 22, 2023; 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.