Individual provider Active NPI

Mary Marsh, LCPC, LAC

  • Professional Counselor
  • Great Falls, MT
National Provider Identifier
1417371915
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69983 Issued in MT
Practice address
712 13TH St S
Great Falls, MT 59405-2344
Phone
(406) 788-1164
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1368 MT
Professional Counselor 101YP2500X 69983 MT Primary

Addresses

Primary practice location

712 13TH St S
Great Falls, MT 59405-2344

Mailing address

PO Box 142
Great Falls, MT 59403-0142
Phone (406) 788-1164

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
I20250414001006 MT Practitioner - Mental Health Counselor 7719401538 Practice locations: Great Falls, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

712 13TH St S
Great Falls, MT 59405-2344
Phone (406) 788-1164

801 9TH St S
Great Falls, MT 59405-2135
Phone (406) 402-9703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69983MTMDProfessional Counselor
1368MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Family Counseling Services, LLC CurrentSince Mar 24, 2025 Accepting new patients
Lighthouse Wellness and Recovery, LLC Addiction (Substance Use Disorder) CurrentSince Mar 1, 2025 Accepting new patients

Locations

712 13th St S
Great Falls, MT 59405
Phone (406) 761-4150

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1417371915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594030142",
            "telephone_number": "406-788-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 13TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052344",
            "telephone_number": "406-788-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "MARY",
        "credential": "LCPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1368",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "69983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.