Jamie Marie Fangsrud, PCLC
Individual provider Active NPI Counselor · Billings, MT
NPI 1457150484 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1457150484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- BBH-PCLC-APP-78450 (MT)
- Practice address
- 919 Broadwater SQ
Billings, MT 59101-1634 - Phone
- (406) 970-9770
- NPI assigned
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-PCLC-APP-78450 | MT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin Tate Therapy | Current |
Accepting new patients |
Locations
919 Broadwater Sq
Billings, MT 59101
Phone (406) 901-5563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | BBH-PCLC-APP-78450 | MT | Yes |
Addresses
Primary practice location
919 Broadwater SQ
Billings, MT 59101-1634
Mailing address
143 Erickson CT N
Billings, MT 59105-2346
Phone (406) 672-1352
Other names
- Jamie Marie Kern
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.