Organization Active NPI

Systems Counseling and Consulting LLC

  • Clinical Social Worker
  • Bozeman, MT
National Provider Identifier
1477215093
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SYSTEMS COUNSELING AND CONSULTING LLC
Practice address
602 S Ferguson Ave Ste 6
Bozeman, MT 59718-6483
Phone
(406) 404-6291
Fax
(406) 551-4624
NPI assigned
Oct 11, 2021
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mr. Matthew Bryan Luvisi, MSW, LCSWNPI 1861161788
Title
Owner/LCSW
Phone
(406) 404-6291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

602 S Ferguson Ave Ste 6
Bozeman, MT 59718-6483

Mailing address

PO Box 6154
Bozeman, MT 59771-6154
Phone (406) 404-6291

Other identifiers 1

IdentifierTypeStateIssuer
50482OtherMTMT BOARD OF BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211028000309 MT Part B Supplier - Clinic/Group Practice 2769870575 Receives reassigned benefits from 1 practitioner
Practice locations: Bozeman, MT

National Provider Directory

National Provider Directory

Locations

602 S Ferguson Ave
Ste 6
Bozeman, MT 59718
Phone (406) 404-6291

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1477215093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6154",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597716154",
            "telephone_number": "406-404-6291",
            "fax_number": "406-551-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S FERGUSON AVE STE 6",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186483",
            "telephone_number": "406-404-6291",
            "fax_number": "406-551-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYSTEMS COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "LUVISI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "406-404-6291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT BOARD OF BEHAVIORAL HEALTH",
            "identifier": "50482",
            "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 Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.