Mica Freeland Wolcott, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44386 Issued in MT

Practice address

19770 Swartz Creek Rd
Clinton, MT 59825

Phone

(406) 540-4120

NPI assigned

Nov 3, 2020

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Guided Healing Trails LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Missoula, MT
  • NPI 1033678396
  NPD

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1336740679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "CLINTON",
            "state": "MT",
            "postal_code": "598250306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19770 SWARTZ CREEK RD",
            "city": "CLINTON",
            "state": "MT",
            "postal_code": "59825",
            "telephone_number": "406-540-4120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19770 Swartz Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MT",
            "postal_code": "598259036",
            "country_code": "US",
            "telephone_number": "208-290-4079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLCOTT",
        "first_name": "MICA",
        "middle_name": "FREELAND",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2024-03-20",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-44386",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "9074",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "44386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://guidedhealingtrails.com/",
            "affiliation": "N",
            "endpointDescription": "Guided Healing Trails",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 N Higgins Ave Ste 107",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jan Bristow Newman, MD, FACS
• Erica Noble, LCSW
• Kerry Lynn Showalter
• Smile Care PLLC (NanCee Neer-Labbe)
• Taresa Janelle Spade, LCSW

• Mental Health Counselor in Clinton, MT
• Providers in Clinton, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.