Kelly J Ackerman, LCPC
Individual provider Active NPI Professional Counselor · Helena, MT
NPI 1801459342 · NPPES record last updated May 22, 2019
Key facts
- NPI
- 1801459342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- BBH-LCPC-LIC-37627 (MT)
- Practice address
- 800 E 6TH Ave
Helena, MT 59601-4464 - Phone
- (406) 461-0181
- NPI assigned
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCPC-LIC-37627 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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) 230-0026
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | BBH-LCPC-LIC-37627 | MT | Yes |
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
2149 Durston Rd Ste 31
Bozeman, MT 59718-2805
Phone (406) 461-0181
Other practice location 2
3240 Dredge Dr
Helena, MT 59602-0548
Phone (406) 461-0181
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All providers in Helena, MT · Professional Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.