Individual provider Active NPI

Hanna Marie Knudsen, PCLC

  • Mental Health Counselor
  • Bozeman, MT
National Provider Identifier
1265128813
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBHPCLCLIC57631 Issued in MT
Practice address
101 E Mendenhall St Ste H
Bozeman, MT 59715-3680
Phone
(406) 595-3746
Fax
(406) 578-1363
NPI assigned
Apr 17, 2023
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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 BBHPCLCLIC57631 MT Primary

Addresses

Primary practice location

101 E Mendenhall St Ste H
Bozeman, MT 59715-3680

Mailing address

906 Grouse Berry St
Billings, MT 59106-8548
Phone (541) 531-7968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 24, 2025 through Feb 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBHPCLCLIC57631MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling Bozeman Mental Health PastSince Sep 23, 2024 Accepting new patients

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": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1265128813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 GROUSE BERRY ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591068548",
            "telephone_number": "541-531-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MENDENHALL ST STE H",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153680",
            "telephone_number": "406-595-3746",
            "fax_number": "406-578-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSEN",
        "first_name": "HANNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBHPCLCLIC57631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.