Active NPI
Georgia Hansen, LCPC
- Mental Health Counselor
- Great Falls, MT
National Provider Identifier
1295367076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- BBH-LCPC-LIC-48284
- Practice address
- 410 Central Ave Ste 503
Great Falls, MT 59401-3128 - Phone
- (406) 750-1801
- Fax
- (406) 278-1229
- NPI assigned
- Feb 10, 2020
- Last updated
- Feb 13, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | BBH-LCPC-LIC-48284 | MT | Primary |
| Mental Health Counselor | 101YM0800X | BBH-PCLC-LIC-42651 | MT |
Addresses
Primary practice location
410 Central Ave Ste 503
Great Falls, MT 59401-3128
Mailing address
410 Central Ave Ste 503
Great Falls, MT 59401-3128
Phone (406) 534-9520
Other names 1
- Georgia Shultz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCPC-LIC-48284 | MT | MD | Mental Health Counselor |
| BBH-PCLC-LIC-42651 | MT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Apple Counseling, LLC | 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.
-
dba Green Apple Behavioral Health
- Substance Use Disorder Rehabilitation Clinic/Center
- Great Falls, MT
- NPI 1336760693
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1295367076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CENTRAL AVE STE 503",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013128",
"telephone_number": "406-534-9520",
"fax_number": "406-278-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CENTRAL AVE STE 503",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013128",
"telephone_number": "406-750-1801",
"fax_number": "406-278-1229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "GEORGIA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "BBH-LCPC-LIC-48284",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "BBH-PCLC-LIC-42651",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGIA",
"last_name": "SHULTZ",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.