Active NPI
Brave Roots Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Billings, MT
National Provider Identifier
1760071831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaela Imm, MSW, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679169585 | Medicaid | MT |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210302002905 | MT | Part B Supplier - Clinic/Group Practice | 0941616759 |
Receives reassigned benefits from 1 practitioner Practice locations: Billings, MT |
National Provider Directory
National Provider DirectoryLocations
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.