Individual provider Active NPI

Jessica Noesen, MA, LCPC

  • Counselor
  • Columbia Falls, MT
National Provider Identifier
1417609017
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
BBH-LCPC-LIC-72320 Issued in MT
Practice address
405 Bills LN Apt D211
Columbia Falls, MT 59912-3963
Phone
(714) 418-3844
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178016895 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X 36744 IL
Counselor 101Y00000X BBH-LCPC-LIC-72320 MT Primary

Addresses

Primary practice location

405 Bills LN Apt D211
Columbia Falls, MT 59912-3963

Mailing address

405 Bills LN Apt D211
Columbia Falls, MT 59912-3963
Phone (714) 418-3844

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
178016895ILMDCounselor
BBH-LCPC-LIC-72320MTMDCounselor
36744ILMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1417609017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BILLS LN APT D211",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123963",
            "telephone_number": "714-418-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BILLS LN APT D211",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123963",
            "telephone_number": "714-418-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOESEN",
        "first_name": "JESSICA",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178016895",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "36744",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MT",
            "license": "BBH-LCPC-LIC-72320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.