Individual provider Active NPI

John Chambers Christopher, PH.D.

  • Counseling Psychologist
  • Bozeman, MT
National Provider Identifier
1285734764
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
313 Issued in MT
Practice address
144 Wickwire Way
Bozeman, MT 59718-9670
Phone
(406) 548-8571
Fax
(406) 225-7723
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 619 MT
Psychologist 103T00000X 313 MT
Counseling Psychologist 103TC1900X 313 MT Primary

Addresses

Primary practice location

144 Wickwire Way
Bozeman, MT 59718-9670

Mailing address

144 Wickwire Way
Bozeman, MT 59718-9670
Phone (406) 548-8571

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
I20240702001721 MT Practitioner - Clinical Psychologist 2062748015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
619MTMDProfessional Counselor
313MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychotherapy & Consultation LLC Counseling CurrentSince May 19, 2019 Accepting new patients
Integrative Psychotherapy & Mind-Body Medicine, LLC Psychologist CurrentSince May 14, 2024 Accepting new patients

Organizations & group practices 2

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1285734764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WICKWIRE WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189670",
            "telephone_number": "406-548-8571",
            "fax_number": "406-225-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 WICKWIRE WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189670",
            "telephone_number": "406-548-8571",
            "fax_number": "406-225-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHER",
        "first_name": "JOHN",
        "middle_name": "CHAMBERS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "619",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "313",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MT",
            "license": "313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.