Individual provider Active NPI

Kevin G. Zoren, LCPC, LMFT

  • Mental Health Counselor
  • Havre, MT
National Provider Identifier
1225413545
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-LIC-12308 Issued in MT
Practice address
1753 US Highway 2 NW Ste 21
Havre, MT 59501-3464
Phone
(406) 530-9818
Fax
(406) 530-1234
NPI assigned
Jul 28, 2015
Last updated
Mar 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SWP-LCPC-LIC-12308 MT
Mental Health Counselor 101YM0800X BBH-LCPC-LIC-12308 MT Primary
Professional Counselor 101YP2500X SWP-LCPC-LIC-12308 MT
Marriage & Family Therapist 106H00000X BBH-LMFT-LIC-37538 MT

Addresses

Primary practice location

1753 US Highway 2 NW Ste 21
Havre, MT 59501-3464

Mailing address

1753 US Highway 2 NW Ste 21
Havre, MT 59501-3464
Phone (406) 530-9818

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
BBH-LCPC-LIC-12308MTMDMental Health Counselor
SWP-LCPC-LIC-12308MTMDProfessional Counselor
BBH-LMFT-LIC-37538MTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1225413545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 US HIGHWAY 2 NW STE 21",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013464",
            "telephone_number": "406-530-9818",
            "fax_number": "406-530-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 US HIGHWAY 2 NW STE 21",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013464",
            "telephone_number": "406-530-9818",
            "fax_number": "406-530-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOREN",
        "first_name": "KEVIN",
        "middle_name": "G.",
        "credential": "LCPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "SWP-LCPC-LIC-12308",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-12308",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "SWP-LCPC-LIC-12308",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "BBH-LMFT-LIC-37538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.