Individual provider Active NPI

Kelsey Lee Ewer, LCPC

  • Mental Health Counselor
  • Hamilton, MT
National Provider Identifier
1790454890
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-PCLC-LIC-50312 Issued in MT
Practice address
320 N 1St St Ste G
Hamilton, MT 59840-2569
Phone
(406) 290-3347
NPI assigned
Sep 10, 2021
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 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 BBH-PCLC-LIC-50312 MT Primary

Addresses

Primary practice location

320 N 1St St Ste G
Hamilton, MT 59840-2569

Mailing address

320 N 1St St Ste G
Hamilton, MT 59840-2569
Phone (406) 290-3347

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
I20240614001475 MT Practitioner - Mental Health Counselor 5294278586 Practice locations: Hamilton, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 N 1St St
Suite G
Hamilton, MT 59840-2569
Phone (406) 290-3347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-PCLC-LIC-50312MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sapphire Community Health Inc CurrentSince Sep 1, 2021 Accepting new patients
Roots & Blossoms Counseling LLC Mental Health PastSince May 3, 2024 Accepting new patients

Locations

316 N 3rd St
Hamilton, MT 59840
Phone (406) 541-0032

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b2651172-99ed-43dd-9814-59d9dbd8df43/

Organizations & group practices 2

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": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1790454890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N 1ST ST STE G",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402569",
            "telephone_number": "406-290-3347",
            "fax_number": "406-541-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N 1ST ST STE G",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402569",
            "telephone_number": "406-290-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWER",
        "first_name": "KELSEY",
        "middle_name": "LEE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-PCLC-LIC-50312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

Verify at the official NPI Registry.