Individual provider Active NPI

Jessica Conner, NCC, PCLC, MA

  • Mental Health Counselor
  • Missoula, MT
National Provider Identifier
1376265744
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-PCLC-LIC-55023 Issued in MT
Practice address
700 South Ave W Ste E
Missoula, MT 59801-8011
Phone
(406) 624-9194
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 224241 MT
Mental Health Counselor 101YM0800X BBH-PCLC-LIC-55023 MT Primary

Addresses

Primary practice location

700 South Ave W Ste E
Missoula, MT 59801-8011

Mailing address

423 W Central Ave
Missoula, MT 59801-6813
Phone (808) 387-1681

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EHR Direct

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
BBH-PCLC-LIC-55023MTMDMental Health Counselor
224241MTMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Feeling & Healing Center, LLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

700 South Ave W
Ste E
Missoula, MT 59801
Phone (406) 624-9194

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1376265744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 W CENTRAL AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016813",
            "telephone_number": "808-387-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SOUTH AVE W STE E",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018011",
            "telephone_number": "406-624-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "NCC, PCLC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MT",
            "license": "224241",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-PCLC-LIC-55023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "700 South Ave W Ste E",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598018011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.