NPIMap

Organization Active NPI

Dandelion Counseling, LLC

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1336709476
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DANDELION COUNSELING, LLC
Practice address
1716 W Main St Ste 8C
Bozeman, MT 59715-6821
Phone
(406) 813-0239
NPI assigned
Jun 20, 2019
Last updated
Jun 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Nancy Jennings
Title
Billing Manager
Phone
(406) 579-4666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1716 W Main St Ste 8C
Bozeman, MT 59715-6821

Mailing address

PO Box 102
Gallatin Gateway, MT 59730-0102
Phone (406) 813-0239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200601002856 MT Part B Supplier - Clinic/Group Practice 9436570322 Receives reassigned benefits from 2 practitioners
Practice locations: Bozeman, MT

National Provider Directory

National Provider Directory

Locations

1716 W Main St
Ste 8C
Bozeman, MT 59715
Phone (406) 813-0239

3985 Valley Commons Dr
Bozeman, MT 59718
Phone (406) 498-3235

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1336709476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "GALLATIN GATEWAY",
            "state": "MT",
            "postal_code": "597300102",
            "telephone_number": "406-813-0239",
            "fax_number": "406-763-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 W MAIN ST STE 8C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156821",
            "telephone_number": "406-813-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANDELION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "406-579-4666"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.