Individual provider Active NPI

Amanda Beedy Morrison, LAC, LCPC

  • Professional Counselor
  • Ennis, MT
National Provider Identifier
1821355728
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4239 Issued in MT
Practice address
222 E Main St Ste 2C
Ennis, MT 59729-9230
Phone
(406) 579-2341
NPI assigned
Apr 16, 2012
Last updated
Mar 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1363 MT
Professional Counselor 101YP2500X 4239 MT Primary

Addresses

Primary practice location

222 E Main St Ste 2C
Ennis, MT 59729-9230

Mailing address

PO Box 102
Ennis, MT 59729-0102
Phone (406) 579-2341

Other practice location 1

2023 Stadium Dr Ste 1C
Bozeman, MT 59715-0613
Phone (406) 579-2341

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
4239MTMDFamily Medicine Physician
1363MTMDSubstance Use Disorder Rehabilitation Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1821355728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "597290102",
            "telephone_number": "406-579-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST STE 2C",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "597299230",
            "telephone_number": "406-579-2341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2023 Stadium Dr Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597150613",
            "country_code": "US",
            "telephone_number": "406-579-2341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "AMANDA",
        "middle_name": "BEEDY",
        "name_prefix": "Mrs.",
        "credential": "LAC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MT",
            "license": "1363",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "4239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.