NPIMap

Organization Active NPI

Hannah Wilson LCPC, LLC

  • Professional Counselor
  • Bozeman, MT
National Provider Identifier
1407417082
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HANNAH WILSON LCPC, LLC
Practice address
2050 Fairway Dr Ste 202
Bozeman, MT 59715-5810
Phone
(406) 595-5855
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Ms. Hannah Rachael Wilson, LCPCNPI 1881191500
Title
Owner
Phone
(406) 595-5855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2050 Fairway Dr Ste 202
Bozeman, MT 59715-5810

Mailing address

PO Box 512
Bozeman, MT 59771-0512
Phone (406) 461-1650

Other names 1

  • Prickly Peach Sex Therapy Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Therapymate
Other URL Therapymate

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1407417082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597710512",
            "telephone_number": "406-461-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 FAIRWAY DR STE 202",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155810",
            "telephone_number": "406-595-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH WILSON LCPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-595-5855",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Therapymate",
            "affiliation": "N",
            "address_1": "1801 W Olive St Apt 1",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597154057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Therapymate",
            "affiliation": "N",
            "address_1": "2050 Fairway Dr Ste 202",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597155810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prickly Peach Sex Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 11, 2020; 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.