Taniquell Wilder O'Tool, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

BBH-LCPC-LIC-23182 Issued in MT

Practice address

416 N 7TH Ave
Bozeman, MT 59715-3310

Phone

(406) 209-8644

NPI assigned

Nov 21, 2016

Last updated

Mar 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1871036046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N 7TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153310",
            "telephone_number": "406-589-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N 7TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153310",
            "telephone_number": "406-209-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'TOOL",
        "first_name": "TANIQUELL",
        "middle_name": "WILDER",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MT",
            "license": "BBH-LCPC-LIC-23182",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MT",
            "license": "23182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Libbie Lee Oberly, LCPC
• Tiffany Ocampo, PCLC

• Counselor in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.