Emily M Tage

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

57620 Issued in NU

Practice address

815 N 5TH Ave Unit 102
Bozeman, MT 59715-2884

Phone

(406) 641-5696

NPI assigned

Aug 7, 2020

Last updated

Mar 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Breathe Mind Body Therapy LLC

  • Mental Health Counselor
  • Bozeman, MT
  • NPI 1235529322
  NPD (past)

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1700496338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N 5TH AVE UNIT 102",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152884",
            "telephone_number": "406-641-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N 5TH AVE UNIT 102",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152884",
            "telephone_number": "406-641-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGE",
        "first_name": "EMILY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "44028",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": "57620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Swinson, NCMTB, LMT
• James P Sykes, DPT
• Synapse Physical Therapy PLLC
• Systems Counseling and Consulting LLC
• Elizabeth Erin Tafesse, M.ED., BCBA, LBA
• Jennifer Adella Tainter, LCPC
• Ryan M Takeshita, PT, DPT
• Darla Tande, PT
• Jason A Tanguay, DDS
• Veronika Magali Tapia Giron, RDN

• Mental Health Counselor in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.