Individual provider Active NPI

Julia Heron Braccini, LCPC

  • Professional Counselor
  • Bozeman, MT
National Provider Identifier
1649913898
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-57273 Issued in MT
Practice address
155 Mill Town Loop
Unit 2B, Suite E
Bozeman, MT 59718-5146
Phone
(360) 907-4828
NPI assigned
Apr 15, 2022
Reactivated
Sep 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X BBH-PCLC-LIC-57273 MT
Professional Counselor 101YP2500X BBH-LCPC-LIC-57273 MT Primary

Addresses

Primary practice location

155 Mill Town Loop
Unit 2B, Suite E
Bozeman, MT 59718-5146

Mailing address

PO Box 291
Gallatin Gateway, MT 59730-0291

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julia@therapyemail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260106002403 MT Practitioner - Mental Health Counselor 3779079173 Practice locations: Bozeman, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley Commons Dr
Suite C
Bozeman, MT 59718-6434
Phone (406) 548-1222

PO Box
Suite 291
Gallatin Gateway, MT 59730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-57273MTMDProfessional Counselor
BBH-PCLC-LIC-57273MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DMBN Psychotherapy Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1649913898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "GALLATIN GATEWAY",
            "state": "MT",
            "postal_code": "597300291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MILL TOWN LOOP",
            "address_2": "UNIT 2B, SUITE E",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185146",
            "telephone_number": "360-907-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERON BRACCINI",
        "first_name": "JULIA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "deactivation_date": "2022-08-31",
        "reactivation_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-PCLC-LIC-57273",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-57273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julia@therapyemail.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "145 Mill Town Loop Ste D",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597185143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.