Organization Active NPI

Tri Therapy Clinic LLC

  • Professional Counselor
  • Bozeman, MT
National Provider Identifier
1689421034
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TRI THERAPY CLINIC LLC
Practice address
804 N 19TH Ave Ste 2a
Bozeman, MT 59718-6929
Phone
(406) 404-1009
Fax
(406) 404-1780
NPI assigned
May 3, 2024
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Mr. Denis Vincent Kelsch, MBA
Title
Ceo
Phone
(480) 773-8386

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary
Clinical Child & Adolescent Psychologist 103TC2200X NU

Addresses

Primary practice location

804 N 19TH Ave Ste 2a
Bozeman, MT 59718-6929

Mailing address

804 N 19TH Ave Ste 2a
Bozeman, MT 59718-6929
Phone (406) 404-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260210003354 MT Part B Supplier - Clinic/Group Practice 7810476777 Receives reassigned benefits from 1 practitioner
Practice locations: Bozeman, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1689421034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N 19TH AVE STE 2A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186929",
            "telephone_number": "406-404-1009",
            "fax_number": "406-404-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N 19TH AVE STE 2A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186929",
            "telephone_number": "406-404-1009",
            "fax_number": "406-404-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI THERAPY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "KELSCH",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-773-8386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.