Individual provider Active NPI

Gabrielle N Molina

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1255676334
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1924 W Stevens St Ste 202
Bozeman, MT 59718-7043
Phone
(406) 595-3746
Fax
(406) 578-1363
NPI assigned
Nov 30, 2012
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1924 W Stevens St Ste 202
Bozeman, MT 59718-7043

Mailing address

1924 W Stevens St Ste 202
Bozeman, MT 59718-7043
Phone (406) 595-3746

Other practice location 1

2725 S Jones Blvd
Suite 104
Las Vegas, NV 89146-5605
Phone (702) 384-2238

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling Bozeman Clinical CurrentSince Sep 23, 2024 Accepting new patients

Locations

1924 W Stevens St
Ste 202
Bozeman, MT 59718
Phone (406) 404-3638

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, 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": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1255676334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 W STEVENS ST STE 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187043",
            "telephone_number": "406-595-3746",
            "fax_number": "406-578-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 W STEVENS ST STE 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187043",
            "telephone_number": "406-595-3746",
            "fax_number": "406-578-1363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2725 S Jones Blvd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465605",
            "country_code": "US",
            "telephone_number": "702-384-2238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "GABRIELLE",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "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 Jul 10, 2024; 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.