Active NPI
Breathe Mind Body Therapy LLC
- Mental Health Counselor
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BREATHE MIND BODY THERAPY LLC
- Practice address
- 2417 W Main St Ste 2
Bozeman, MT 59718-3811 - Phone
- (406) 600-4297
- NPI assigned
- Jan 28, 2015
- Last updated
- Nov 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joni Nadene Evans, LCPC & LMFT
- Title
- Owner/Sole Proprietor
- Phone
- (406) 600-4297
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2417 W Main St Ste 2
Bozeman, MT 59718-3811
Mailing address
4213 Benepe St
Bozeman, MT 59718-6712
Phone (406) 600-4297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1946 Stadium Dr
Ste 2
Bozeman, MT 59715
Phone (309) 299-1579
205 Haggerty Ln
Ste 255
Bozeman, MT 59715
Phone (406) 312-9703
2417 W Main St
Ste 2
Bozeman, MT 59718
Phone (406) 600-4297
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Mental Health Counselor
- Bozeman, MT
- NPI 1063718245
-
- Mental Health Counselor
- Bozeman, MT
- NPI 1003261132
-
- Professional Counselor
- Bozeman, MT
- NPI 1255124335
-
- Mental Health Counselor
- Bozeman, MT
- NPI 1700496338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731024000000",
"number": "1235529322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4213 BENEPE ST",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186712",
"telephone_number": "406-600-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 W MAIN ST STE 2",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597183811",
"telephone_number": "406-600-4297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREATHE MIND BODY THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-28",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "JONI",
"authorized_official_middle_name": "NADENE",
"authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
"authorized_official_telephone_number": "406-600-4297",
"authorized_official_credential": "LCPC & LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"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 Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.