Active NPI
Kelly J Ackerman, LCPC
- Professional Counselor
- Helena, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- BBH-LCPC-LIC-37627
- Practice address
- 800 E 6TH Ave
Helena, MT 59601-4464 - Phone
- (406) 461-0181
- NPI assigned
- Apr 19, 2019
- Last updated
- May 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| 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) 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Helena, MT
- NPI 1871152728
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.