Robin Ponce Bauman, LCPC

Key facts

NPI

1932908142

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

78894 (MT)

Practice address

1800 W Koch St
Bozeman, MT 59715-1301

Phone

(406) 624-9748

NPI assigned

Mar 10, 2025

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 10, 2025.

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1932908142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N 17TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153112",
            "telephone_number": "406-624-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W KOCH ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597151301",
            "telephone_number": "406-624-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "ROBIN",
        "middle_name": "PONCE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "78894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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