Individual provider Active NPI

Connie Dilts, LCPC, LMFT

  • Mental Health Counselor
  • Billings, MT
National Provider Identifier
1285646133
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
489LCPC Issued in MT
Practice address
902 Wyoming Ave
Billings, MT 59101-1637
Phone
(406) 254-8604
Fax
(406) 294-0967
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 489LCPC MT Primary
Marriage & Family Therapist 106H00000X 126 MT

Addresses

Primary practice location

902 Wyoming Ave
Billings, MT 59101-1637

Mailing address

902 Wyoming Ave
Billings, MT 59101-1637
Phone (406) 254-8604

Other identifiers 2

IdentifierTypeStateIssuer
000074965OtherMTBCBS
0254046MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111004254 MT Practitioner - Mental Health Counselor 0143671305 Practice locations: Billings, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

944 Ave B
Billings, MT 59102-3346
Phone (406) 254-8604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
489LCPCMTMDMental Health Counselor
126MTMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1285646133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 WYOMING AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011637",
            "telephone_number": "406-254-8604",
            "fax_number": "406-294-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WYOMING AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011637",
            "telephone_number": "406-254-8604",
            "fax_number": "406-294-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILTS",
        "first_name": "CONNIE",
        "credential": "LCPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "489LCPC",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "126",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000074965",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254046",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.