Individual provider Active NPI

Brock Belgarde, LCPC

  • Mental Health Counselor
  • Missoula, MT
National Provider Identifier
1871173484
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-LIC-48457 Issued in MT
Practice address
1305 Wyoming St
Missoula, MT 59801-1725
Phone
(406) 532-9770
Fax
(406) 206-7112
NPI assigned
Apr 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BBH-LCPC-LIC-48457 MT Primary

Addresses

Primary practice location

1305 Wyoming St
Missoula, MT 59801-1725

Mailing address

1305 Wyoming St
Missoula, MT 59801-1725
Phone (406) 696-4402

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL missoulachildren@wmmhc.org Other

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
I20240726000005 MT Practitioner - Mental Health Counselor 9234675216 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership Health Center Inc CurrentSince Dec 11, 2025 Accepting new patients

Locations

401 Railroad St W
Missoula, MT 59802
Phone (406) 258-4183

323 W Alder St
Missoula, MT 59802
Phone (406) 258-4195

Organizations & group practices 2

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": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1871173484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WYOMING ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011725",
            "telephone_number": "406-696-4402",
            "fax_number": "406-206-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WYOMING ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011725",
            "telephone_number": "406-532-9770",
            "fax_number": "406-206-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELGARDE",
        "first_name": "BROCK",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-48457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "missoulachildren@wmmhc.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "To connect with therapist",
            "address_1": "1305 Wyoming St",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598011725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.