Bernadette Reynolds, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13854 Issued in MT

Practice address

1240 Dewey Blvd Ste a
Butte, MT 59701-3411

Phone

(406) 498-4086

NPI assigned

Dec 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deeprootscounseling.bernadettereynolds@157453.advancedmd-direct.com

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.

• Deep Roots Counseling Inc.

  dba Deep Roots Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Butte, MT
  • NPI 1528765088
  NPD Authorized official
• Deep Roots Counseling Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Butte, MT
  • NPI 1538935820
  NPD Authorized official

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1649645052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 DEWEY BLVD STE A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013411",
            "telephone_number": "406-498-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 DEWEY BLVD STE A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013411",
            "telephone_number": "406-498-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "BERNADETTE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "13854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ida R Reighard, RN, CDE
• Jacqueline Reilly
• Jessica Reissig, D.O.
• David A Repola, MD
• Restorative Mind Therapy LLC
• Heidi Reynolds, LCSW
• Karen Marie Reynolds, LCSW
• Roxanna Reynolds, LAC
• Michael Anthony Rhodes, M.D.
• Sarah Rhodes, PA-C

• Mental Health Counselor in Butte, MT
• Providers in Butte, 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 Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.