Individual provider Active NPI

Randall Roy Fuhrmann, LCPC

  • Mental Health Counselor
  • Helena, MT
National Provider Identifier
1316022163
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
620-LCPC Issued in MT
Practice address
616 Helena Ave
Suite 301
Helena, MT 59601-3654
Phone
(406) 431-0964
Fax
(406) 442-7271
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 620-LCPC MT Primary

Addresses

Primary practice location

616 Helena Ave
Suite 301
Helena, MT 59601-3654

Mailing address

616 Helena Ave
Suite 301
Helena, MT 59601-3654
Phone (406) 431-0964

Other identifiers 2

IdentifierTypeStateIssuer
744833OtherMTMENTAL HEALTH COUNSELING
0000253470MedicaidMT

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

LicenseStateTypeSpecialty
620-LCPCMTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen a Dolezal Aprn PC PastSince Jan 19, 2004 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316022163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 HELENA AVE",
            "address_2": "SUITE 301",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013654",
            "telephone_number": "406-431-0964",
            "fax_number": "406-442-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 HELENA AVE",
            "address_2": "SUITE 301",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013654",
            "telephone_number": "406-431-0964",
            "fax_number": "406-442-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRMANN",
        "first_name": "RANDALL",
        "middle_name": "ROY",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "620-LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELING",
            "identifier": "744833",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000253470",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.