Autumn Pierce, PCLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

BBH-LCPC-LIC-64717 Issued in MT

Practice address

700 N Ewing St
Helena, MT 59601-3605

Phone

(208) 304-7587

NPI assigned

May 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Blossom Therapy LLC

  • Mental Health Counselor
  • Nampa, ID
  • NPI 1801649264
  NPD Authorized official

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1497445779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 SUNNYBROOK DR APT 304",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866471",
            "telephone_number": "208-304-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N EWING ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013605",
            "telephone_number": "208-304-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "AUTUMN",
        "credential": "PCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-64717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Raymond Phillips, M.D.
• Phoenix Rising PLLC
• Robert Piccolo, MSW, LCSW
• Beverly D Pickett, MS
• Whitney Pickett
• Lauren M Pierce, DPT
• Samantha Rose Ellen Pierson-Hartwig, FNP-C
• Pietro N James MD PC
• Benjamin M Pike, CRNA
• Gwendolyn Alice Pincomb, MD

• 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 Oct 31, 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.