Jessica Gruber, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18293 Issued in MT

Practice address

900 Jackson St
Center for Mental Health
Helena, MT 59601-3428

Phone

(406) 443-7151

Fax

(406) 791-9629

NPI assigned

Jun 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica Bertoch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Great Falls, MT
  • NPI 1144251885
  NPD (past)
• Center for Mental Health

  • Mental Illness Community Based Residential Treatment Facility
  • Great Falls, MT
  • NPI 1710450044
  NPD (past)
• Western Montana Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1912079328
  NPD (past)

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1497106926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3089",
            "address_2": "CENTER FOR MENTAL HEALTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594033089",
            "telephone_number": "406-443-7151",
            "fax_number": "406-791-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JACKSON ST",
            "address_2": "CENTER FOR MENTAL HEALTH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013428",
            "telephone_number": "406-443-7151",
            "fax_number": "406-791-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "JESSICA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "18293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONTANA",
            "identifier": "0MT0753400",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BERTOCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Henry Evan Griffith, PHARMD; RPH
• Steven Michael Gross, ATC
• Timothy B Grossman, MD
• Christian D Grover, M.S.
• Jennifer Renee Groves, PHARMD
• Guardian Dermatology
• Kimberly Guerrero, RN
• Mary Anne Guggenheim, M.D.
• Elizabeth Perry Gundersen, M.D.
• Ashli Gurnett, LCSW

• Mental Health Counselor in Helena, MT
• Providers in Helena, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.