Individual provider Active NPI

Robyn K. Carr, LCPC, LAC, LMFT

  • Professional Counselor
  • Bozeman, MT
National Provider Identifier
1447517347
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-1572 Issued in MT
Practice address
1174 Stoneridge Dr Ste 304
Bozeman, MT 59718-9850
Phone
(406) 414-7055
NPI assigned
Apr 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-LAC-LIC-1353 MT
Marriage & Family Therapist 106H00000X BBH-LMFT-LIC-4433 MT
Professional Counselor 101YP2500X BBH-LCPC-LIC-1572 MT Primary

Addresses

Primary practice location

1174 Stoneridge Dr Ste 304
Bozeman, MT 59718-9850

Mailing address

483 Talon Way
Bozeman, MT 59718-9816
Phone (805) 453-8281

Other names 1

  • Robyn K. Moore Former name

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
I20240916000627 MT Practitioner - Mental Health Counselor 4284175498 Practice locations: Bozeman, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1174 Stoneridge Dr
Bozeman, MT 59718-9850
Phone (406) 414-7055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LAC-LIC-1353MTMDAddiction (Substance Use Disorder) Counselor
BBH-LMFT-LIC-4433MTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Healing Therapy and Recovery, LLC Addiction (Substance Use Disorder) CurrentSince Sep 1, 2023 Accepting new patients

Locations

1174 Stoneridge Dr
Ste 304
Bozeman, MT 59718
Phone (406) 414-7055

1087 Stoneridge Dr
Ste 2A
Bozeman, MT 59718
Phone (406) 586-3525

Organizations & group practices 1

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": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1447517347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 TALON WAY",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189816",
            "telephone_number": "805-453-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 STONERIDGE DR STE 304",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189850",
            "telephone_number": "406-414-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "ROBYN",
        "middle_name": "K.",
        "credential": "LCPC, LAC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-1353",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "BBH-LMFT-LIC-4433",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-1572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "MOORE",
            "middle_name": "K.",
            "credential": "LCPC, LAC, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.