NPIMap

Organization Active NPI

Divergent Minds Counseling Center

  • Mental Health Counselor
  • Bozeman, MT
National Provider Identifier
1811735129
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DIVERGENT MINDS COUNSELING CENTER
Practice address
702 N 19TH Ave Ste 2C
Bozeman, MT 59718-6069
Phone
(406) 812-4300
NPI assigned
Jul 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Jessica WohlersNPI 1467174623
Title
Sol Member
Phone
(406) 812-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

702 N 19TH Ave Ste 2C
Bozeman, MT 59718-6069

Mailing address

4730 Blackwood Rd
Bozeman, MT 59718-7624
Phone (406) 475-5408

National Provider Directory

National Provider Directory

Locations

702 N 19th Ave
Ste 2C
Bozeman, MT 59718
Phone (406) 812-4300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1811735129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 BLACKWOOD RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187624",
            "telephone_number": "406-475-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N 19TH AVE STE 2C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186069",
            "telephone_number": "406-812-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERGENT MINDS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "WOHLERS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SOL MEMBER",
        "authorized_official_telephone_number": "406-812-4300"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.