Alissa Spencer

Individual provider Active NPI Professional Counselor · Bozeman, MT

NPI 1255124335 · NPPES record last updated May 22, 2025

Key facts

NPI
1255124335
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
2417 W Main St Ste 2
Bozeman, MT 59718-3811
Phone
(406) 600-4297
NPI assigned
May 22, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe Mind Body Therapy LLC Current
since May 25, 2025
Accepting new patients

Locations

2417 W Main St
Ste 2
Bozeman, MT 59718
Phone (406) 600-4297

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

2417 W Main St Ste 2
Bozeman, MT 59718-3811

Mailing address

300 Farmall LN
Manhattan, MT 59741-7101
Phone (541) 941-4005

Other providers in Bozeman, MT

All providers in Bozeman, MT · Professional Counselor in Montana

Sources for this page

Verify at the official NPI Registry.