Individual provider Active NPI

Jessica Lee Pierzina Lenneman, MSW, LCSW

  • Mental Health Counselor
  • Bozeman, MT
National Provider Identifier
1366513665
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SWP-LCSW LIC-8029 Issued in MT
Practice address
251 Edelweiss Dr
Ste 1B
Bozeman, MT 59718-3933
Phone
(408) 482-2539
Fax
(406) 794-0367
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW 18783 CA
Mental Health Counselor 101YM0800X LCS 25856 CA
Mental Health Counselor 101YM0800X SWP-LCSW LIC-8029 MT Primary

Addresses

Primary practice location

251 Edelweiss Dr
Ste 1B
Bozeman, MT 59718-3933

Mailing address

251 Edelweiss Dr
Ste 1B
Bozeman, MT 59718-3933
Phone (408) 482-2539

Other identifiers 1

IdentifierTypeStateIssuer
M011006526OtherMTPTAN

Other names 1

  • Miss Jessica Lee Pierzina Former name

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
I20150827001031 MT Practitioner - Clinical Social Worker 7416263017 Reassigns benefits to 1 organization
Practice locations: Bozeman, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2135 Charlotte St
Suite 2
Bozeman, MT 59718-2741
Phone (408) 482-2539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 25856CAMDMental Health Counselor
SWP-LCSW LIC-8029MTMDMental Health Counselor
ASW 18783CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Cottonwood Counseling Inc Clinical CurrentSince May 7, 2021 Accepting new patients
Jessica Lenneman LCSW PastSince Jan 12, 2010 Accepting new patients

Locations

2135 Charlotte St
Ste 2
Bozeman, MT 59718
Phone (406) 600-5606

Organizations & group practices 2

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1366513665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 EDELWEISS DR",
            "address_2": "STE 1B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183933",
            "telephone_number": "408-482-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 EDELWEISS DR",
            "address_2": "STE 1B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183933",
            "telephone_number": "408-482-2539",
            "fax_number": "406-794-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNEMAN",
        "first_name": "JESSICA",
        "middle_name": "LEE PIERZINA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 18783",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS 25856",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "SWP-LCSW LIC-8029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "M011006526",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PIERZINA",
            "middle_name": "LEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.