Hillary Swan Funk Welzenbach, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1360 Issued in MT

Practice address

2237 S 3Rd St W
Missoula, MT 59801-1334

Phone

(406) 541-2662

NPI assigned

May 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Montana Center for Somatic PsychotherapyGroup PAC ID 0840684049, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Montana Center for Somatic Psychotherapy

  • Professional Counselor
  • Missoula, MT
  • NPI 1457863664
  Medicare reassignment Care Compare group NPD
• Friends to Youth Inc.

  • Community/Behavioral Health Agency
  • Missoula, MT
  • NPI 1649390881
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1912164831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E BROADWAY ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024929",
            "telephone_number": "406-728-2662",
            "fax_number": "406-728-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011334",
            "telephone_number": "406-541-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024929",
            "country_code": "US",
            "telephone_number": "406-728-2662",
            "fax_number": "406-728-2879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNK WELZENBACH",
        "first_name": "HILLARY",
        "middle_name": "SWAN",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "1360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Circle Counseling Solutions
• Full Circle Counseling Solutions LLC
• Functional Medicine of Missoula PLLC
• Functional Performance Therapy Inc.
• Functional Performance Therapy, Inc.
• Roger Furlong, MD
• Paige K Furniss, LCSW
• Elena Furrow, M.D.
• G & E Ventures Inc
• G Gregg Neibauer, DPM, Inc

• Professional Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.