Active NPI
Holly Rae Priscu, JD, LCPC
- Mental Health Counselor
- Bozeman, MT
National Provider Identifier
1396388450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- BBH-LCPC-LIC-45820
- Practice address
- 8353 Saddle Mountain Rd
Bozeman, MT 59715-8789 - Phone
- (406) 282-4495
- NPI assigned
- Oct 22, 2019
- Last updated
- Oct 31, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC19262 | CO | MD | Mental Health Counselor |
| BBH-LCPC-LIC-45820 | MT | MD | Mental Health Counselor |
| BBH-PCLC-LIC-38320 | MT | MD | Mental Health Counselor |
| CPC5265R | NV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spanish Peaks Mental Health, PLLC | Mental Health | Current | Accepting new patients |
| Serenity in Motion LLC | Past | 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.
-
dba Mountain Heart Counseling
- Community/Behavioral Health Agency
- Bozeman, MT
- NPI 1487245452
Mental Health
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.