Active NPI
Julie Menanno
- Professional Counselor
- Bozeman, MT
National Provider Identifier
1649785544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 27109
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 93696 | CA | MD | Counselor |
| 27109 | MT | MD | Professional Counselor |
| 22758 | MT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bozeman Therapy & Counseling | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bozeman, MT
- NPI 1669002614
-
- Point of Service
- Porter Ranch, CA
- NPI 1386196541
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.