Individual provider Active NPI

Jennifer Rivers, LCSW, LAC-C

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1609397017
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44019 Issued in MT
Practice address
60 S Last Chance Gulch
Helena, MT 59601-4131
Phone
(406) 443-2343
Fax
(406) 442-5490
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44019 MT Primary

Addresses

Primary practice location

60 S Last Chance Gulch
Helena, MT 59601-4131

Mailing address

PO Box 1153
Helena, MT 59624-1153
Phone (406) 443-2343

Other names 1

  • Jen Shirilla Former name

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
I20201002002864 MT Practitioner - Clinical Social Worker 8820417272 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44019MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jen Rivers Intuitive Healing LLC Clinical CurrentSince Sep 25, 2022 Accepting new patients
Boyd Andrew Community Services CurrentSince Aug 4, 2020 Accepting new patients

Locations

60 S Last Chance Gulch
Helena, MT 59601
Phone (406) 443-2343

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609397017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1153",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596241153",
            "telephone_number": "406-443-2343",
            "fax_number": "406-442-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S LAST CHANCE GULCH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014131",
            "telephone_number": "406-443-2343",
            "fax_number": "406-442-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "JENNIFER",
        "credential": "LCSW, LAC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "44019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEN",
            "last_name": "SHIRILLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.