Active NPI
Hannah Eileen Kirby-Zimmerman, LCPC
- Professional Counselor
- Missoula, MT
National Provider Identifier
1285022905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- BBH-LCPC-LIC-42636
- Practice address
- 1119 W Kent Ave
Missoula, MT 59801-6636 - Phone
- (406) 214-2459
- NPI assigned
- Jan 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 441-228 | WI | |
| Professional Counselor | 101YP2500X | BBH-LCPC-LIC-42636 | MT | Primary |
Addresses
Primary practice location
1119 W Kent Ave
Missoula, MT 59801-6636
Mailing address
PO Box 755
Missoula, MT 59806-0755
Phone (406) 214-2459
Other practice location 1
317 DeWitt St
Portage, WI 53901-2155
Phone (608) 745-1751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1200 32ND St S Apt
Suite 36
Great Falls, MT 59405-5336
1601 2ND Ave N
Suite 300W
Great Falls, MT 59401-3243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCPC-LIC-42636 | MT | MD | Professional Counselor |
| 441-228 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chrysalis Counseling of Montana | Professional | Current | Accepting new patients |
Locations
1119 W Kent Ave
Ste F
Missoula, MT 59801
Phone (406) 214-2459
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.
-
dba Hannah Kirby-Zimmerman
- Professional Counselor
- Missoula, MT
- NPI 1609489822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1285022905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 755",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598060755",
"telephone_number": "406-214-2459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 W KENT AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016636",
"telephone_number": "406-214-2459"
}
],
"practiceLocations": [
{
"address_1": "317 DeWitt St",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "WI",
"postal_code": "539012155",
"country_code": "US",
"telephone_number": "608-745-1751",
"fax_number": "608-745-1757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRBY-ZIMMERMAN",
"first_name": "HANNAH",
"middle_name": "EILEEN",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-05",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "441-228",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "BBH-LCPC-LIC-42636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.