Individual provider Active NPI

Teresa Marie Mouser, LCPC

  • Mental Health Counselor
  • Great Falls, MT
National Provider Identifier
1851651863
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
22680 Issued in MT
Practice address
1601 2ND Ave N Ste 208
Great Falls, MT 59401
Phone
(406) 590-1550
Fax
(888) 279-4130
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1379 MT
Mental Health Counselor 101YM0800X 22680 MT Primary

Addresses

Primary practice location

1601 2ND Ave N Ste 208
Great Falls, MT 59401

Mailing address

1601 2ND Ave N Ste 208
Great Falls, MT 59401-3286
Phone (406) 590-1550

Other practice location 1

1601 2nd Ave N Ste 208
Great Falls, MT 59401
Phone (406) 590-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930002503 MT Practitioner - Mental Health Counselor 7911446745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1601 2ND Ave N
Suite 208
Great Falls, MT 59401-3286
Phone (406) 590-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22680MTMDMental Health Counselor
1379MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Wolf Counseling, LLC CurrentSince May 20, 2024 Accepting new patients
Cub Haven Counseling, Inc Addiction (Substance Use Disorder) Current Accepting new patients
Cub Haven Counseling, Inc Addiction (Substance Use Disorder) Current Accepting new patients

Locations

1601 2nd Ave N
Ste 208
Great Falls, MT 59401
Phone (406) 590-1550

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1851651863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 208",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013286",
            "telephone_number": "406-590-1550",
            "fax_number": "888-279-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 208",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59401",
            "telephone_number": "406-590-1550",
            "fax_number": "888-279-4130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 2nd Ave N Ste 208",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "59401",
            "country_code": "US",
            "telephone_number": "406-590-1550",
            "fax_number": "888-279-4130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSER",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1379",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "22680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.