Individual provider Active NPI

Kelly J Ackerman, LCPC

  • Professional Counselor
  • Helena, MT
National Provider Identifier
1801459342
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-37627 Issued in MT
Practice address
800 E 6TH Ave
Helena, MT 59601-4464
Phone
(406) 461-0181
NPI assigned
Apr 19, 2019
Last updated
May 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X BBH-LCPC-LIC-37627 MT Primary

Addresses

Primary practice location

800 E 6TH Ave
Helena, MT 59601-4464

Mailing address

2206 Choteau St
Helena, MT 59601-1430
Phone (406) 461-0181

Other practice location 1

3240 Dredge Dr
Helena, MT 59602-0548
Phone (406) 461-0181

Other practice location 2

2149 Durston Rd Ste 31
Bozeman, MT 59718-2805
Phone (406) 461-0181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-37627MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Counseling & Family Services PC Current Accepting new patients

Locations

2149 Durston Rd
Ste 31
Bozeman, MT 59718
Phone (406) 461-0181

800 E 6th Ave
Helena, MT 59601
Phone (406) 437-3305

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1801459342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 CHOTEAU ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596011430",
            "telephone_number": "406-461-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 6TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014464",
            "telephone_number": "406-461-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3240 Dredge Dr",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596020548",
            "country_code": "US",
            "telephone_number": "406-461-0181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2149 Durston Rd Ste 31",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597182805",
            "country_code": "US",
            "telephone_number": "406-461-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-37627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.