Individual provider Active NPI

Rebekah Rose Pauli, LCPC

  • Professional Counselor
  • Bozeman, MT
National Provider Identifier
1447964002
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-62889 Issued in MT
Practice address
416 W Mendenhall St Ste D
Bozeman, MT 59715-3477
Phone
(406) 930-1154
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X BBH-LCPC-LIC-62889 MT Primary

Addresses

Primary practice location

416 W Mendenhall St Ste D
Bozeman, MT 59715-3477

Mailing address

416 W Mendenhall St Ste D
Bozeman, MT 59715-3477
Phone (406) 930-1154

Other names 1

  • Ruby Pauli Other name

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

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-62889MTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1447964002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W MENDENHALL ST STE D",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153477",
            "telephone_number": "406-930-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W MENDENHALL ST STE D",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153477",
            "telephone_number": "406-930-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULI",
        "first_name": "REBEKAH",
        "middle_name": "ROSE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-62889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "PAULI",
            "code": "5",
            "type": "Other 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 May 11, 2023; 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.