Individual provider Active NPI

Julie Menanno

  • Professional Counselor
  • Bozeman, MT
National Provider Identifier
1649785544
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
27109 Issued in MT
Practice address
321 E Main St Ste 418
Bozeman, MT 59715-4702
Phone
(818) 456-9012
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 27109 MT Primary
Marriage & Family Therapist 106H00000X 22758 MT
Marriage & Family Therapist 106H00000X 93696 CA

Addresses

Primary practice location

321 E Main St Ste 418
Bozeman, MT 59715-4702

Mailing address

215 Painted Hills Rd
Bozeman, MT 59715-8070
Phone (818) 456-9012

Other practice location 1

11145 Tampa Ave St27A
Porter Ranch, CA 91326
Phone (818) 456-9012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
93696CAMDCounselor
27109MTMDProfessional Counselor
22758MTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Therapy & Counseling PastSince Jan 19, 2020 Accepting new patients

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, 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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649785544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PAINTED HILLS RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158070",
            "telephone_number": "818-456-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E MAIN ST STE 418",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154702",
            "telephone_number": "818-456-9012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11145 Tampa Ave St27A",
            "address_purpose": "LOCATION",
            "city": "Porter Ranch",
            "state": "CA",
            "postal_code": "91326",
            "country_code": "US",
            "telephone_number": "818-456-9012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENANNO",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "27109",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "22758",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.