Mary Penberthy-Macki, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

701LCPC Issued in MT

Practice address

1597 Avenue D
Suite 1
Billings, MT 59102-3010

Phone

(406) 238-9890

Fax

(406) 294-0967

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MPM Service Co

  • Mental Health Counselor
  • Billings, MT
  • NPI 1700051414
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1649282500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 AVENUE D",
            "address_2": "SUITE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023010",
            "telephone_number": "406-238-9890",
            "fax_number": "406-294-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 AVENUE D",
            "address_2": "SUITE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023010",
            "telephone_number": "406-238-9890",
            "fax_number": "406-294-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENBERTHY-MACKI",
        "first_name": "MARY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "701LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000075016",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255119",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Peila, M.D.
• Jodie Pekovich, RD
• Brian T Pelczar, M.D.
• Barbara Pellant Mende, LCPC
• Brenna Marie Pelzel
• John R Pender IV, MD
• Kevin Penn, MD
• Victoria Ligia-Clarice Pennell
• Matthew E Perdue, MD
• Heather Ann Perea, BS, AS, LAC

• Mental Health Counselor in Billings, MT
• Providers in Billings, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.