Active NPI
Robyn K. Carr, LCPC, LAC, LMFT
- Professional Counselor
- Bozeman, MT
National Provider Identifier
1447517347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- BBH-LCPC-LIC-1572
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LAC-LIC-1353 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| BBH-LMFT-LIC-4433 | MT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Healing Therapy and Recovery, LLC | Addiction (Substance Use Disorder) | Current | 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.
-
- Professional Counselor
- Bozeman, MT
- NPI 1003694548
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.