Individual provider Active NPI

Kenneth Engelhardt, M. ED.

  • Professional Counselor
  • Great Falls, MT
National Provider Identifier
1710429956
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-19127 Issued in MT
Practice address
1205 1St Ave NW
Great Falls, MT 59404-2202
Phone
(406) 454-6973
Fax
(406) 268-7077
NPI assigned
Nov 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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 BBH-LCPC-LIC-19127 MT Primary

Addresses

Primary practice location

1205 1St Ave NW
Great Falls, MT 59404-2202

Mailing address

601 1St Ave N
Great Falls, MT 59401-2510
Phone (406) 454-6973

Other practice location 1

3220 11th Ave S Ste D
Great Falls, MT 59405-5402
Phone (406) 454-6973

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219000725 MT Practitioner - Mental Health Counselor 7012351034 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-19127MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Center Incorporated CurrentSince Jan 1, 2024 Accepting new patients

Locations

1205 1st Ave NW
Great Falls, MT 59404
Phone (406) 268-7180

3220 11th Ave S
Ste D
Great Falls, MT 59405

115 4th St S
Great Falls, MT 59401
Phone (406) 454-6950

2501 2nd Ave N
Great Falls, MT 59401
Phone (406) 268-6845

601 1st Ave N
Great Falls, MT 59401
Phone (406) 454-5074

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": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1710429956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 1ST AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012510",
            "telephone_number": "406-454-6973",
            "fax_number": "406-791-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 1ST AVE NW",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594042202",
            "telephone_number": "406-454-6973",
            "fax_number": "406-268-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 11th Ave S Ste D",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055402",
            "country_code": "US",
            "telephone_number": "406-454-6973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGELHARDT",
        "first_name": "KENNETH",
        "credential": "M. ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-04",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-19127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.