Active NPI
Hettie Jans Wortelboer PLLC
- Professional Counselor
- Livingston, MT
National Provider Identifier
1891561759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- HETTIE JANS WORTELBOER PLLC
- Practice address
- 215 E Lewis St Ste 100
Livingston, MT 59047-3144 - Phone
- (406) 223-0206
- NPI assigned
- Nov 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hettie Jans Wortelboer
- Title
- Owner
- Phone
- (406) 223-0206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
215 E Lewis St Ste 100
Livingston, MT 59047-3144
Mailing address
215 E Lewis St Ste 100
Livingston, MT 59047-3144
Phone (406) 223-0206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
215 E Lewis St
Ste 100
Livingston, MT 59047
Phone (406) 223-0206
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Livingston, MT
- NPI 1417019027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701302400000",
"number": "1891561759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E LEWIS ST STE 100",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590473144",
"telephone_number": "406-223-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E LEWIS ST STE 100",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590473144",
"telephone_number": "406-223-0206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HETTIE JANS WORTELBOER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-30",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A",
"authorized_official_last_name": "WORTELBOER",
"authorized_official_first_name": "HETTIE",
"authorized_official_middle_name": "JANS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-223-0206"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.