Jayann Chipman, R-DMT, PCLC
Individual provider Active NPI Mental Health Counselor · Lakeside, MT
NPI 1679365423 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1679365423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- BBH-PCLC-LIC-79272 (MT)
- Practice address
- 139 Monaco Dr
Lakeside, MT 59922-9710 - Phone
- (406) 370-4575
- NPI assigned
- May 19, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-PCLC-LIC-79272 | MT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | BBH-PCLC-LIC-79272 | MT | Yes |
Addresses
Primary practice location
139 Monaco Dr
Lakeside, MT 59922-9710
Mailing address
139 Monaco Dr
Lakeside, MT 59922-9710
Phone (406) 370-4575
Other providers in Lakeside, MT
- Brave Life Counseling PLLC
- Frank Brisendine
- Fredrick Brown
- Benjamin David Bushnell
- Christine J Childers
- Margaret Ann Coutts
- Colleen Dawkins
- Karen Lynn Dion
- Richard Xavier Fleming
- Gwen Gates
All providers in Lakeside, MT · Mental Health Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.