Individual provider Active NPI

Taylor Haidle

  • Mental Health Counselor
  • Billings, MT
National Provider Identifier
1699409672
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
50425 Issued in MT
Practice address
1411 Main St Ste B
Billings, MT 59105-1712
Phone
(406) 969-5183
NPI assigned
Jul 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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 50425 MT Primary

Addresses

Primary practice location

1411 Main St Ste B
Billings, MT 59105-1712

Mailing address

1411 Main St Ste B
Billings, MT 59105-1712

Other identifiers 1

IdentifierTypeStateIssuer
50425OtherMTBOARD OF BEHAVIORAL HEALTH

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
I20240927003246 MT Practitioner - Mental Health Counselor 8224569413 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
Harvest Counseling Center LLCGroup PAC ID 3971996489, 5 clinicians

Practice addresses (Care Compare)

1320 Division St
Billings, MT 59101-6001
Phone (406) 409-4541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50425MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harvest Counseling Center LLC Mental Health CurrentSince Oct 7, 2024 Accepting new patients

Locations

1320 Division St
Billings, MT 59101
Phone (406) 409-4541

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1699409672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 MAIN ST STE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MAIN ST STE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051712",
            "telephone_number": "406-969-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDLE",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "50425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL HEALTH",
            "identifier": "50425",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.