Source Counseling Collective

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOURCE COUNSELING COLLECTIVE

Practice address

2415 W Main St Ste 2
Bozeman, MT 59718-3809

Phone

(406) 589-5512

NPI assigned

Oct 4, 2021

Organization subpart

No

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

Authorized official

Name

Andrew G. Lear, LCSWNPI 1497105449

Title

Owner

Phone

(406) 589-5512

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Lear, MSW, LCSW

  • Clinical Social Worker
  • Bozeman, MT
  • NPI 1497105449
  NPD Authorized official

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1710659115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4558 PERRY ST APT B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186661",
            "telephone_number": "406-589-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 W MAIN ST STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183809",
            "telephone_number": "406-589-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE COUNSELING COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "LEAR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-589-5512",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://andy-lear.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "SimplePractice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2415 W Main St Ste 2",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597183809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Larry W Sonnenberg, MD
• Heidi Ann Soper
• Gabriella Sophir
• Lisa Souba, LMT
• Mozelle M Soule, PA-C
• Southwestern Montana Home Care (Right at Home)
• Dawn Sowell, PCLC
• Daniel Lewis Spain, DDS
• Steven L Spainhower, D.D.S.
• Megan Spalding, LCPC

• 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 Dec 6, 2021; 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.