NPIMap

Organization Active NPI

Melissa Costigan Davis, LCPC

  • Professional Counselor
  • Bozeman, MT
National Provider Identifier
1659819464
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1345 Issued in MT
Legal business name
MELISSA COSTIGAN DAVIS, LCPC
Practice address
1934 Stadium Dr Ste C
Bozeman, MT 59715-0672
Phone
(406) 599-7612
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Melissa Davis, LCPCNPI 1568648558
Title
LCPC
Phone
(406) 599-7612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1345 MT Primary

Addresses

Primary practice location

1934 Stadium Dr Ste C
Bozeman, MT 59715-0672

Mailing address

1404 Bluebird LN
Bozeman, MT 59715-9274
Phone (406) 599-7612

National Provider Directory

National Provider Directory

Locations

1934 Stadium Dr
Ste C
Bozeman, MT 59715
Phone (406) 548-5908

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1659819464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 BLUEBIRD LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597159274",
            "telephone_number": "406-599-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 STADIUM DR STE C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597150672",
            "telephone_number": "406-599-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA COSTIGAN DAVIS, LCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "406-599-7612",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "1345",
            "primary": true
        }
    ],
    "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 Feb 1, 2017; 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.