Individual provider Active NPI

Heidi Kay Baumgartner Wilson, LCPC

  • Mental Health Counselor
  • Ennis, MT
National Provider Identifier
1235918574
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-LIC-64793 Issued in MT
Practice address
222 E Main St Ste 2C
Ennis, MT 59729-9230
Phone
(406) 763-6292
NPI assigned
Sep 26, 2023
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 BBH-LCPC-LIC-64793 MT Primary

Addresses

Primary practice location

222 E Main St Ste 2C
Ennis, MT 59729-9230

Mailing address

13 Two Bumps Rd
Ennis, MT 59729-9219
Phone (720) 878-3676

Other practice location 1

305 N Main St
Ennis, MT 59729-8001
Phone (406) 682-4223 ext. 26634

Other names 1

  • Heidi Wilson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606003904 MT Practitioner - Mental Health Counselor 0840732764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Valley Hospital IncGroup PAC ID 7719890987, 13 clinicians

Practice addresses (Care Compare)

217 N Main St
Ennis, MT 59729-8007

305 N Main St
Ennis, MT 59729-8001
Phone (406) 682-6862

PO Box
Suite 647
Ennis, MT 59729-0647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-64793MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Valley Hospital Inc CurrentSince May 20, 2024 Accepting new patients
Madison Valley Hospital Inc CurrentSince May 20, 2024 Accepting new patients

Locations

305 N Main St
Ennis, MT 59729
Phone (406) 682-4223

Organizations & group practices 2

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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1235918574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 TWO BUMPS RD",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "597299219",
            "telephone_number": "720-878-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST STE 2C",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "597299230",
            "telephone_number": "406-763-6292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 N Main St",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "MT",
            "postal_code": "597298001",
            "country_code": "US",
            "telephone_number": "406-682-4223 x26634",
            "fax_number": "406-682-4756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "HEIDI",
        "middle_name": "KAY BAUMGARTNER",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-64793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "WILSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ennis, MT

Sources for this page

Verify at the official NPI Registry.