Individual provider Active NPI

Emily Tutvedt Grossman, LCPC

  • Mental Health Counselor
  • Bozeman, MT
National Provider Identifier
1871919944
Registry record updated Mar 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7698 Issued in MT
Practice address
699 Farmhouse LN
Bozeman, MT 59715-9402
Phone
(406) 556-6500
NPI assigned
Mar 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2018

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 7698 MT Primary

Addresses

Primary practice location

699 Farmhouse LN
Bozeman, MT 59715-9402

Mailing address

PO Box 494
Belgrade, MT 59714-0494
Phone (406) 518-1267

Other practice location 1

4040 Central Ave
Center for Mental Health-East Middle School
Great Falls, MT 59405-1638
Phone (406) 761-2100

Other practice location 2

21000 Frontage Rd
Belgrade, MT 59714-8547
Phone (406) 518-1267

Other identifiers 1

IdentifierTypeStateIssuer
0000749440OtherMTBLUE CROSS-SHIELD OF MONTANA

Other names 1

  • Emily Sarah Tutvedt Former name

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
7698MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Counseling, PLLC Mental Health Current Accepting new patients
Western Montana Mental Health Center PastSince Jan 1, 2004 Accepting new patients

Locations

21000 Frontage Rd
Ste 4
Belgrade, MT 59714

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": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521331200000",
    "number": "1871919944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597140494",
            "telephone_number": "406-518-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 FARMHOUSE LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597159402",
            "telephone_number": "406-556-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 Central Ave",
            "address_2": "Center for Mental Health-East Middle School",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594051638",
            "country_code": "US",
            "telephone_number": "406-761-2100",
            "fax_number": "406-791-9629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21000 Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Belgrade",
            "state": "MT",
            "postal_code": "597148547",
            "country_code": "US",
            "telephone_number": "406-518-1267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "EMILY",
        "middle_name": "TUTVEDT",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2018-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "7698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SHIELD OF MONTANA",
            "identifier": "0000749440",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "TUTVEDT",
            "middle_name": "SARAH",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2018; 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.