Individual provider Active NPI

Carolyn Ann Hamilton, LCPC, LPC

  • Mental Health Counselor
  • Sheridan, MT
National Provider Identifier
1689350027
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
59212 Issued in MT
Practice address
427 Mill St
Sheridan, MT 59749-9620
Phone
(406) 577-6322
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 59212 MT Primary

Addresses

Primary practice location

427 Mill St
Sheridan, MT 59749-9620

Mailing address

427 Mill St
Sheridan, MT 59749-9620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240205003343 MN Practitioner - Mental Health Counselor 7315380557 Reassigns benefits to 1 organization
I20250930002307 MT Practitioner - Mental Health Counselor 7315380557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Matters LLCGroup PAC ID 2961826086, 6 clinicians

Practice addresses (Care Compare)

120 S Main St
Suite 106
Sheridan, MT 59749-9701
Phone (406) 479-4304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59212MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Matters LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

104 Park Ave N
Ste 201
Park Rapids, MN 56470
Phone (218) 255-3321

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1689350027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 MILL ST",
            "city": "SHERIDAN",
            "state": "MT",
            "postal_code": "597499620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 MILL ST",
            "city": "SHERIDAN",
            "state": "MT",
            "postal_code": "597499620",
            "telephone_number": "406-577-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "credential": "LCPC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "59212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, MT

Sources for this page

Verify at the official NPI Registry.