Jessica Viste, PCLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

BBH-PCLC-LIC-62270 Issued in MT

Practice address

415 N Higgins Ave
Missoula, MT 59802-4557

Phone

(406) 404-6629

NPI assigned

Feb 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Embodied Wild Integrative Counseling

  • Mental Health Counselor
  • Missoula, MT
  • NPI 1205537651
  NPD Authorized official

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1821794702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17951",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598087951",
            "telephone_number": "406-404-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N HIGGINS AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024557",
            "telephone_number": "406-404-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISTE",
        "first_name": "JESSICA",
        "credential": "PCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-PCLC-LIC-62270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Villalobos, RN BSN
• Claudia Marcela Villegas, LMT
• Robert Vincent, MD
• Morgan Viscio, DC
• Judith K Visscher, MD
• Vital Flow Medicine
• Vitality Chiropractic Clinic, PLLC
• Vitality Coaching Solutions
• Sophia Raelyn Vivant, PA-C
• Circe Vogel, COUNSELOR

• Professional Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.