Organization Active NPI

Rebecca Baumgardner Psychotherapy LLC

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1891579421
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REBECCA BAUMGARDNER PSYCHOTHERAPY LLC
Practice address
208 N 29TH St Ste 16
Billings, MT 59101-1985
Phone
(406) 894-0179
NPI assigned
Aug 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Rebecca Baumgardner, LCSW, LACNPI 1518492453
Title
Owner, Therapist
Phone
(406) 894-0179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

208 N 29TH St Ste 16
Billings, MT 59101-1985

Mailing address

208 N 29TH St Ste 16
Billings, MT 59101-1985
Phone (406) 894-0179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231101001836 MT Part B Supplier - Clinic/Group Practice 6800242587 Receives reassigned benefits from 1 practitioner
Practice locations: Billings, MT

National Provider Directory

National Provider Directory

Locations

208 N 29th St
Ste 16
Billings, MT 59101
Phone (406) 894-0179

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1891579421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N 29TH ST STE 16",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011985",
            "telephone_number": "406-894-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N 29TH ST STE 16",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011985",
            "telephone_number": "406-894-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA BAUMGARDNER PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "BAUMGARDNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "406-894-0179",
        "authorized_official_credential": "LCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.