Active NPI
Chelci Marie Bruno
- Mental Health Counselor
- Missoula, MT
National Provider Identifier
1962033605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- BBH-LCPC-LIC-42582
- Practice address
- 2423 Mullan Rd
Missoula, MT 59808-1827 - Phone
- (406) 360-1047
- Fax
- (406) 830-3156
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | BBH-LCPC-LIC-42582 | MT | Primary |
Addresses
Primary practice location
2423 Mullan Rd
Missoula, MT 59808-1827
Mailing address
1234 1/2 Phillips St
Missoula, MT 59802-2325
Phone (406) 360-1047
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250926001433 | MT | Practitioner - Mental Health Counselor | 0042715336 | Practice locations: Missoula, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1001 SW Higgins Ave
Missoula, MT 59803-1340
Phone (406) 360-1047
400 River Dr
Lolo, MT 59847-8733
5305 N Montana Ave
Helena, MT 59602-7036
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCPC-LIC-42582 | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1962033605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 1/2 PHILLIPS ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598022325",
"telephone_number": "406-360-1047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2423 MULLAN RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081827",
"telephone_number": "406-360-1047",
"fax_number": "406-830-3156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "CHELCI",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "BBH-LCPC-LIC-42582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.