Individual provider Active NPI

Bonnie Huestis, L.C.P.C.

  • Professional Counselor
  • Great Falls, MT
National Provider Identifier
1699829796
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
310 LCPC Issued in MT
Practice address
5200 9TH Ave S
Great Falls, MT 59405-5712
Phone
(406) 453-6006
Fax
(406) 452-5320
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 310 LCPC MT Primary

Addresses

Primary practice location

5200 9TH Ave S
Great Falls, MT 59405-5712

Mailing address

5200 9TH Ave S
Great Falls, MT 59405-5712
Phone (406) 453-6006

Other identifiers 2

IdentifierTypeStateIssuer
0251447MedicaidMT
75108OtherMTBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
310 LCPCMTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Huestis & Huestis, LLC Past Accepting new patients

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699829796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 9TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055712",
            "telephone_number": "406-453-6006",
            "fax_number": "406-452-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 9TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055712",
            "telephone_number": "406-453-6006",
            "fax_number": "406-452-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUESTIS",
        "first_name": "BONNIE",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "310 LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251447",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "75108",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.