Individual provider Active NPI

Kayla Paige Gross, LCPC, NCC

  • Mental Health Counselor
  • Butte, MT
National Provider Identifier
1649867631
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-LIC-47182 Issued in MT
Practice address
56 E Broadway St Apt 3B
Butte, MT 59701-9360
Phone
(304) 543-1567
NPI assigned
Dec 24, 2020
Last updated
Dec 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BBH-LCPC-LIC-47182 MT Primary

Addresses

Primary practice location

56 E Broadway St Apt 3B
Butte, MT 59701-9360

Mailing address

56 E Broadway St Apt 3B
Butte, MT 59701-9360
Phone (304) 543-1567

Other identifiers 1

IdentifierTypeStateIssuer
BBH-LCPC-LIC-47182MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL BetterHelp

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
BBH-LCPC-LIC-47182MTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1649867631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 E BROADWAY ST APT 3B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019360",
            "telephone_number": "304-543-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 E BROADWAY ST APT 3B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019360",
            "telephone_number": "304-543-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KAYLA",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-47182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BBH-LCPC-LIC-47182",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BetterHelp",
            "affiliation": "N",
            "address_1": "56 E Broadway St Apt 3B",
            "city": "Butte",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597019360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.