Organization Active NPI

Brave Roots Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Billings, MT
National Provider Identifier
1760071831
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRAVE ROOTS COUNSELING, LLC
Practice address
110 Grand Ave
Billings, MT 59101-6021
Phone
(406) 272-2532
Fax
(406) 534-2880
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Kaela Imm, MSW, LCSWNPI 1679169585
Title
Owner
Phone
(406) 272-2532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

110 Grand Ave
Billings, MT 59101-6021

Mailing address

PO Box 22214
Billings, MT 59104-2214
Phone (406) 272-2532

Other identifiers 1

IdentifierTypeStateIssuer
1679169585MedicaidMT

Practitioners 1

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210302002905 MT Part B Supplier - Clinic/Group Practice 0941616759 Receives reassigned benefits from 1 practitioner
Practice locations: Billings, MT

National Provider Directory

National Provider Directory

Locations

110 Grand Ave
Billings, MT 59101
Phone (406) 672-9923

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1760071831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22214",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591042214",
            "telephone_number": "406-272-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GRAND AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591016021",
            "telephone_number": "406-272-2532",
            "fax_number": "406-534-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE ROOTS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "IMM",
        "authorized_official_first_name": "KAELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-272-2532",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679169585",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.