Individual provider Active NPI

Ellen Sue Goodnature, LCPC

  • Mental Health Counselor
  • Sidney, MT
National Provider Identifier
1790160950
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12315 Issued in MT
Practice address
1201 W Holly St
Suite 4
Sidney, MT 59270-3596
Phone
(406) 433-4635
Fax
(406) 433-8201
NPI assigned
Jul 29, 2015
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12315 MT Primary

Addresses

Primary practice location

1201 W Holly St
Suite 4
Sidney, MT 59270-3596

Mailing address

2508 Wilson St
Miles City, MT 59301-5000
Phone (405) 234-0234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240329002417 MT Practitioner - Mental Health Counselor 4789055344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Montana Community Mental Health CenterGroup PAC ID 9032155601, 9 clinicians

Practice addresses (Care Compare)

1201 W Holly St
Suite 4
Sidney, MT 59270-3596
Phone (406) 433-4635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Montana Community Mental Health Center Mental Health CurrentSince Feb 14, 2024 Accepting new patients

Locations

2016 N Merrill Ave
Glendive, MT 59330
Phone (406) 377-6075

2508 Wilson St
Miles City, MT 59301
Phone (406) 234-0234

100 W Laurel Ave
Plentywood, MT 59254
Phone (406) 765-2550

1201 W Holly St
Ste 4
Sidney, MT 59270
Phone (406) 433-4635

124 Custer St
Wolf Point, MT 59201
Phone (406) 653-1872

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1790160950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 WILSON ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015000",
            "telephone_number": "405-234-0234",
            "fax_number": "406-234-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W HOLLY ST",
            "address_2": "SUITE 4",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703596",
            "telephone_number": "406-433-4635",
            "fax_number": "406-433-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODNATURE",
        "first_name": "ELLEN",
        "middle_name": "SUE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "12315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, MT

Sources for this page

Verify at the official NPI Registry.