Active NPI
Jennifer Adella Tainter, LCPC
- Professional Counselor
- Bozeman, MT
National Provider Identifier
1437364585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1176
- Practice address
- PO Box 6324
Bozeman, MT 59771-6324 - Phone
- (406) 579-3790
- Fax
- (406) 579-3790
- NPI assigned
- May 11, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1176 | MT | |
| Professional Counselor | 101YP2500X | 1176 | MT | Primary |
Addresses
Primary practice location
PO Box 6324
Bozeman, MT 59771-6324
Mailing address
PO Box 6324
Bozeman, MT 59771-6324
Phone (406) 579-3790
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0256685 | Medicaid | MT | |
| 742200 | Other | MT | BCBS |
| 1437364585 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 22, 2024 through Feb 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1176 | MT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1437364585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6324",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597716324",
"telephone_number": "406-579-3790",
"fax_number": "406-579-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 6324",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597716324",
"telephone_number": "406-579-3790",
"fax_number": "406-579-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAINTER",
"first_name": "JENNIFER",
"middle_name": "ADELLA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MT",
"license": "1176",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "1176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0256685",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "742200",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437364585",
"state": "MT"
}
],
"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 Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.