Individual provider Active NPI

Ellen Savage, LCPC

  • Mental Health Counselor
  • Havre, MT
National Provider Identifier
1689666273
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
27 Issued in MT
Practice address
325 10TH St
Havre, MT 59501-4933
Phone
(406) 265-3621
NPI assigned
Aug 18, 2005
Last updated
Jun 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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 27 MT Primary

Addresses

Primary practice location

325 10TH St
Havre, MT 59501-4933

Mailing address

PO Box 395
Chinook, MT 59523-0395
Phone (406) 265-3621

Other identifiers 2

IdentifierTypeStateIssuer
0256828MedicaidMT
000075358OtherBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251211000594 MT Practitioner - Mental Health Counselor 7618461229 Reassigns benefits to 1 organization
Practice locations: Havre, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 3Rd Ave
Havre, MT 59501-3554
Phone (406) 262-4242

2801 Connery Way
Suite B
Missoula, MT 59808-1949

500 Westover Dr
Sanford, NC 27330-8941

PO Box
Suite 395
Chinook, MT 59523-0395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27MTMDMental Health Counselor

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1689666273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "CHINOOK",
            "state": "MT",
            "postal_code": "595230395",
            "telephone_number": "406-265-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 10TH ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595014933",
            "telephone_number": "406-265-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "ELLEN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "27",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256828",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "000075358",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

Verify at the official NPI Registry.