Active NPI
Hanna Marie Knudsen, PCLC
- Mental Health Counselor
- Bozeman, MT
National Provider Identifier
1265128813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- BBHPCLCLIC57631
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BBHPCLCLIC57631 | MT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Counseling Bozeman | Mental Health | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.