Individual provider Active NPI

Kimberly Verschoot

  • Mental Health Counselor
  • Billings, MT
National Provider Identifier
1508504184
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
54999 Issued in MT
Practice address
1245 N 29TH St
Billings, MT 59101-0122
Phone
(406) 252-5658
Fax
(406) 238-3679
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 54999 MT Primary

Addresses

Primary practice location

1245 N 29TH St
Billings, MT 59101-0122

Mailing address

1245 N 29TH St
Billings, MT 59101-0122
Phone (406) 252-5658

Other identifiers 1

IdentifierTypeStateIssuer
1891781787MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL scmrmhc.org

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

LicenseStateTypeSpecialty
54999MTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1508504184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 N 29TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010122",
            "telephone_number": "406-252-5658",
            "fax_number": "406-238-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 N 29TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010122",
            "telephone_number": "406-252-5658",
            "fax_number": "406-238-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSCHOOT",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "54999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891781787",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "scmrmhc.org",
            "affiliation": "N",
            "address_1": "1245 N 29th St",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "591010122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.