Organization Active NPI

Lynn Marie Grosulak LCPC

  • Mental Health Counselor
  • Billings, MT
National Provider Identifier
1659545168
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1114 LCPC Issued in MT
Legal business name
LYNN MARIE GROSULAK LCPC
Practice address
710 Grand Ave
Suite 6
Billings, MT 59101-5852
Phone
(406) 855-9446
Fax
(406) 294-0967
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Lynn Marie Grosulak, LCPCNPI 1396816724
Title
Owner
Phone
(406) 855-9446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1114 LCPC MT Primary

Addresses

Primary practice location

710 Grand Ave
Suite 6
Billings, MT 59101-5852

Mailing address

PO Box 20794
Billings, MT 59104-0794
Phone (406) 855-9446

Other identifiers 2

IdentifierTypeStateIssuer
0256173MedicaidMT
000741370OtherMTBCBS

National Provider Directory

National Provider Directory

Locations

710 Grand Ave
Ste 6
Billings, MT 59101
Phone (406) 690-1616

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1659545168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20794",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591040794",
            "telephone_number": "406-855-9446",
            "fax_number": "406-294-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 GRAND AVE",
            "address_2": "SUITE 6",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591015852",
            "telephone_number": "406-855-9446",
            "fax_number": "406-294-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN MARIE GROSULAK LCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "GROSULAK",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-855-9446",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "1114 LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256173",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000741370",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.