Individual provider Active NPI

Sally Seidel, LCPC

  • Professional Counselor
  • Great Falls, MT
National Provider Identifier
1528496148
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-4615 Issued in MT
Practice address
2622 16TH Ave S Apt 8
Great Falls, MT 59405-5265
Phone
(406) 799-0424
NPI assigned
Oct 16, 2013
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X BBH-LCPC-LIC-4615 MT Primary

Addresses

Primary practice location

2622 16TH Ave S Apt 8
Great Falls, MT 59405-5265

Mailing address

1013 26TH Ave SW
Great Falls, MT 59404-3617
Phone (406) 799-0424

Other identifiers 2

IdentifierTypeStateIssuer
1528496148MedicaidMT
521966OtherMHN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231003578 MT Practitioner - Mental Health Counselor 8729574405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

205 E Park Ave
Anaconda, MT 59711-2340

264 Cobblestone LN
McDonough, GA 30252-6254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-4615MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aware Inc CurrentSince Oct 18, 2025 Accepting new patients

Locations

205 E Park Ave
Anaconda, MT 59711
Phone (406) 563-8117

3360 10th Ave S
Great Falls, MT 59405
Phone (405) 563-8117

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1528496148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 26TH AVE SW",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043617",
            "telephone_number": "406-799-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 16TH AVE S APT 8",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055265",
            "telephone_number": "406-799-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEL",
        "first_name": "SALLY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-4615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528496148",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "521966",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.