Active NPI
Michele Susan Carey, LCPC
- Counselor
- Bozeman, MT
National Provider Identifier
1477785905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1315-LCPC
- Practice address
- 2050 Fairway Dr
Suite 108
Bozeman, MT 59715-5806 - Phone
- (406) 570-9887
- NPI assigned
- Aug 18, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1315-LCPC | MT | Primary |
| Mental Health Counselor | 101YM0800X | 1315-LCPC | MT |
Addresses
Primary practice location
2050 Fairway Dr
Suite 108
Bozeman, MT 59715-5806
Mailing address
2050 Fairway Dr
Suite 108
Bozeman, MT 59715-5806
Phone (406) 570-9887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 743760 | Other | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1315-LCPC | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1477785905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 FAIRWAY DR",
"address_2": "SUITE 108",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597155806",
"telephone_number": "406-570-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 FAIRWAY DR",
"address_2": "SUITE 108",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597155806",
"telephone_number": "406-570-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "MICHELE",
"middle_name": "SUSAN",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MT",
"license": "1315-LCPC",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "1315-LCPC",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "743760",
"state": null
}
],
"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 Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.