Individual provider Active NPI

Jesse Jo Harris, LCSW

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1962759530
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWP-LCSW-LIC-11277 Issued in MT
Practice address
301 N 27TH St
Suite 100
Billings, MT 59101-1261
Phone
(406) 696-3522
Fax
(406) 256-5232
NPI assigned
Aug 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWP-LCSW-LIC-11277 MT Primary

Addresses

Primary practice location

301 N 27TH St
Suite 100
Billings, MT 59101-1261

Mailing address

PO Box 30743
Billings, MT 59107-0743
Phone (406) 855-2517

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160527001500 MT Practitioner - Clinical Social Worker 6901196245 Reassigns benefits to 1 organization
Practice locations: Billings, MT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWP-LCSW-LIC-11277MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sky Behavioral Health, Inc. Current Accepting new patients
Gabert Medical Services, Inc CurrentSince Aug 22, 2022 Accepting new patients
Malissa Steffes LCSW PLLC Clinical Past Accepting new patients
Sandstone Counseling Services, LLC PastSince Oct 9, 2015 Accepting new patients

Locations

107 Dilworth St
Glendive, MT 59330
Phone (406) 345-8900

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1962759530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30743",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591070743",
            "telephone_number": "406-855-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "address_2": "SUITE 100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591011261",
            "telephone_number": "406-696-3522",
            "fax_number": "406-256-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JESSE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "SWP-LCSW-LIC-11277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.