Individual provider Active NPI

Grace Hodges, LCPC

  • Professional Counselor
  • Helena, MT
National Provider Identifier
1619067766
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC #354 Issued in MT
Practice address
616 Helena Ave Ste 301
Helena, MT 59601-3654
Phone
(406) 447-6565
Fax
(406) 442-7271
NPI assigned
Oct 12, 2006
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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 LCPC #354 MT Primary

Addresses

Primary practice location

616 Helena Ave Ste 301
Helena, MT 59601-3654

Mailing address

14 S Raleigh St
Helena, MT 59601-5169
Phone (406) 447-6565

Other practice location 1

630 N Last Chance Gulch Ste 1100
Helena, MT 59601-3551
Phone (406) 457-0000

Other identifiers 2

IdentifierTypeStateIssuer
74663OtherMTBLUE CROSS BLUE SHIELD
0255112MedicaidMT

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
I20240117004716 MT Practitioner - Mental Health Counselor 4880046531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pureview Health CenterGroup PAC ID 3678487394, 22 clinicians

Practice addresses (Care Compare)

1930 9TH Ave
Helena, MT 59601-4759
Phone (406) 457-0000

1930 9TH Ave
Helena, MT 59601-9753

533 N Main St
Helena, MT 59601-3346
Phone (406) 457-0000

630 N Last Chance Gulch
Suite 1100
Helena, MT 59601-3551
Phone (406) 457-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCPC #354MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pureview Health Center CurrentSince Jan 1, 2024 Accepting new patients
Pureview Health Center CurrentSince Jan 1, 2024 Accepting new patients
Kathleen a Dolezal Aprn PC PastSince Jan 19, 2004 Accepting new patients

Locations

1930 9th Ave
Helena, MT 59601
Phone (406) 457-8905

630 N Last Chance Gulch
Ste 1100
Helena, MT 59601
Phone (406) 646-2522

Organizations & group practices 3

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1619067766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S RALEIGH ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596015169",
            "telephone_number": "406-447-6565",
            "fax_number": "406-442-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 HELENA AVE STE 301",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013654",
            "telephone_number": "406-447-6565",
            "fax_number": "406-442-7271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 N Last Chance Gulch Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596013551",
            "country_code": "US",
            "telephone_number": "406-457-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGES",
        "first_name": "GRACE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "LCPC #354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "74663",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255112",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.