Individual provider Active NPI

Carson Douglas Macintyre, MS, LCPC

  • Professional Counselor
  • Ronan, MT
National Provider Identifier
1407578800
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-55522 Issued in MT
Practice address
123 Garfield St SE
Ronan, MT 59864-3316
Phone
(320) 318-3811
NPI assigned
Sep 13, 2022
Last updated
Aug 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 196757 AK
Professional Counselor 101YP2500X BBH-LCPC-LIC-55522 MT Primary

Addresses

Primary practice location

123 Garfield St SE
Ronan, MT 59864-3316

Mailing address

123 Garfield St SE
Ronan, MT 59864-3316
Phone (320) 318-3811

Other practice location 1

1018 Burlington Ave # 202-204
Missoula, MT 59801-5675
Phone (406) 201-8129

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
I20240805002414 MT Practitioner - Mental Health Counselor 6901343219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aware IncGroup PAC ID 4284529348, 15 clinicians

Practice addresses (Care Compare)

3335 LT Moss Rd
Missoula, MT 59804-7222
Phone (406) 543-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
196757AKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aware Inc CurrentSince Oct 18, 2025 Accepting new patients
Carson Macintyre Therapeutic Solutions, PLLC Mental Health CurrentSince Nov 9, 2025 Accepting new patients

Locations

205 E Park Ave
Anaconda, MT 59711
Phone (406) 563-8117

1315 Wyoming St
Missoula, MT 59801
Phone (406) 532-9700

3335 Lt Moss Rd
Missoula, MT 59804
Phone (406) 543-2202

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1407578800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GARFIELD ST SE",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598643316",
            "telephone_number": "320-318-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 GARFIELD ST SE",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598643316",
            "telephone_number": "320-318-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1018 Burlington Ave # 202-204",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598015675",
            "country_code": "US",
            "telephone_number": "406-201-8129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACINTYRE",
        "first_name": "CARSON",
        "middle_name": "DOUGLAS",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "196757",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-55522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronan, MT

Sources for this page

Verify at the official NPI Registry.