Individual provider Active NPI

Holly Rae Priscu, JD, LCPC

  • Mental Health Counselor
  • Bozeman, MT
National Provider Identifier
1396388450
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-LIC-45820 Issued in MT
Practice address
8353 Saddle Mountain Rd
Bozeman, MT 59715-8789
Phone
(406) 282-4495
NPI assigned
Oct 22, 2019
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC19262 CO
Mental Health Counselor 101YM0800X BBH-PCLC-LIC-38320 MT
Mental Health Counselor 101YM0800X CPC5265R NV
Mental Health Counselor 101YM0800X BBH-LCPC-LIC-45820 MT Primary

Addresses

Primary practice location

8353 Saddle Mountain Rd
Bozeman, MT 59715-8789

Mailing address

PO Box 392
Niwot, CO 80544-0392
Phone (406) 570-6751

Other practice location 1

PO Box 392
Niwot, CO 80544-0392
Phone (406) 570-6751

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
Juris Doctor

State licenses

LicenseStateTypeSpecialty
LPC19262COMDMental Health Counselor
BBH-LCPC-LIC-45820MTMDMental Health Counselor
BBH-PCLC-LIC-38320MTMDMental Health Counselor
CPC5265RNVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spanish Peaks Mental Health, PLLC Mental Health CurrentSince Feb 1, 2021 Accepting new patients
Serenity in Motion LLC PastSince Oct 1, 2019 Accepting new patients

Locations

4055 Valley Commons Dr
Ste E
Bozeman, MT 59718
Phone (406) 582-1515

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1396388450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805440392",
            "telephone_number": "406-570-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8353 SADDLE MOUNTAIN RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158789",
            "telephone_number": "406-282-4495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 392",
            "address_purpose": "LOCATION",
            "city": "Niwot",
            "state": "CO",
            "postal_code": "805440392",
            "country_code": "US",
            "telephone_number": "406-570-6751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRISCU",
        "first_name": "HOLLY",
        "middle_name": "RAE",
        "credential": "JD, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC19262",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-PCLC-LIC-38320",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CPC5265R",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-45820",
            "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 Oct 31, 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.