Jeanie Bohall, LCPC
Individual provider Active NPI Marriage & Family Therapist · Great Falls, MT
NPI 1740925403 · NPPES record last updated Dec 27, 2022
Key facts
- NPI
- 1740925403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 56559 (MT)
- Practice address
- 2720 10TH Ave S
Great Falls, MT 59405-3240 - Phone
- (067) 314-8888
- Fax
- (406) 731-8318
- NPI assigned
- Apr 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83698 | TX | MD | Counselor |
| 56559 | MT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | 83698 | TX | |
| Professional Counselor | 101YP2500X | 56559 | MT | |
| Marriage & Family Therapist | 106H00000X | 56559 | MT | Yes |
Addresses
Primary practice location
2720 10TH Ave S
Great Falls, MT 59405-3240
Mailing address
2720 10TH Ave S
Great Falls, MT 59405-3240
Phone (067) 314-8888
Other providers in Great Falls, MT
- Kim Bodily
- Ryan Boer
- Boes Eye Care
- David A Boes
- Makenna Bogen
- Robert Kelly Bohannon
- David C Boharski
- Kathryn Lynnette Bohks
- Cody Wayne Bohlke
- Molly Boland
All providers in Great Falls, MT · Marriage & Family Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.