NPIMap

Organization Active NPI

Chrysalis Counseling of Montana

Doing business as Hannah Kirby-Zimmerman

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1609489822
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHRYSALIS COUNSELING OF MONTANA
Doing business as
Hannah Kirby-Zimmerman
Practice address
1119 W Kent Ave Ste F
Missoula, MT 59801-6687
Phone
(406) 214-2459
NPI assigned
Aug 27, 2020
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Hannah Eileen Kirby-Zimmerman, LCPCNPI 1285022905
Title
Owner
Phone
(406) 214-2459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1119 W Kent Ave Ste F
Missoula, MT 59801-6687

Mailing address

PO Box 755
Missoula, MT 59806-0755
Phone (406) 214-2459

Other names 1

  • Hannah Kirby-Zimmerman Doing business as

National Provider Directory

National Provider Directory

Locations

1119 W Kent Ave
Ste F
Missoula, MT 59801
Phone (406) 214-2459

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1609489822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 755",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598060755",
            "telephone_number": "406-214-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 W KENT AVE STE F",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016687",
            "telephone_number": "406-214-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING OF MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-27",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "KIRBY-ZIMMERMAN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-214-2459",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hannah Kirby-Zimmerman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hannah Kirby-Zimmerman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.