Individual provider Active NPI

Hannah Eileen Kirby-Zimmerman, LCPC

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1285022905
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-42636 Issued in MT
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

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
BBH-LCPC-LIC-42636MTMDProfessional Counselor
441-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Counseling of Montana Professional CurrentSince Aug 30, 2020 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.

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

Verify at the official NPI Registry.