Individual provider Active NPI

Karen M Lundgren, L.P.C.P.

  • Professional Counselor
  • Miles City, MT
National Provider Identifier
1316034770
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1232 Issued in MT
Practice address
2200 Box Elder St
Miles City, MT 59301-2899
Phone
(406) 853-1197
Fax
(406) 234-9333
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1232 MT Primary

Addresses

Primary practice location

2200 Box Elder St
Miles City, MT 59301-2899

Mailing address

PO Box 222
Miles City, MT 59301-0222
Phone (406) 853-1197

Other identifiers 2

IdentifierTypeStateIssuer
743040OtherMTBLUECROSS BLUESHIELD
0256972MedicaidMT

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
I20240305000004 MT Practitioner - Mental Health Counselor 5294170981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry Associates PCGroup PAC ID 6103865563, 6 clinicians

Practice addresses (Care Compare)

2078 Stadium Dr
Suite 101
Bozeman, MT 59715-7204
Phone (406) 587-0810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1232MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Associates PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2078 Stadium Dr
Ste 101
Bozeman, MT 59715
Phone (406) 587-0810

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1316034770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593010222",
            "telephone_number": "406-853-1197",
            "fax_number": "406-234-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BOX ELDER ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593012899",
            "telephone_number": "406-853-1197",
            "fax_number": "406-234-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "L.P.C.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "1232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "743040",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256972",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

Verify at the official NPI Registry.