Individual provider Active NPI

Emily Rose Pierson, MED, LCPC

  • Professional Counselor
  • Twin Bridges, MT
National Provider Identifier
1972152759
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
38856 Issued in MT
Practice address
4216 Mt Highway 287
Twin Bridges, MT 59754-8732
Phone
(907) 723-0053
Fax
(406) 684-5923
NPI assigned
Sep 5, 2019
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 38856 MT
Mental Health Counselor 101YM0800X 02561 MN
Professional Counselor 101YP2500X 38856 MT Primary

Addresses

Primary practice location

4216 Mt Highway 287
Twin Bridges, MT 59754-8732

Mailing address

4216 Mt Highway 287
Twin Bridges, MT 59754-8732
Phone (907) 723-0053

Other practice location 1

207 Park Ave S Ste 2
Park Rapids, MN 56470-1531
Phone (218) 616-1276

Other identifiers 2

IdentifierTypeStateIssuer
BBH-LCPC-LIC-38856OtherMTLCPC LICENSE
02561OtherMNMINNESOTA LICENSE - LPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240409002737 MN Practitioner - Mental Health Counselor 7517305618 Reassigns benefits to 1 organization
I20250930002737 MT Practitioner - Mental Health Counselor 7517305618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Matters LLCGroup PAC ID 2961826086, 6 clinicians

Practice addresses (Care Compare)

104 Park Ave N
Suite 201
Park Rapids, MN 56470-1856
Phone (218) 616-1276

120 S Main St
Suite 106
Sheridan, MT 59749-9701
Phone (406) 479-4304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
02561MNMDMental Health Counselor
38856MTMDProfessional Counselor
4625MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pierson Mental Health Services, LLC Mental Health CurrentSince Jun 1, 2022 Accepting new patients
Wellness Matters LLC Mental Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

104 Park Ave N
Ste 201
Park Rapids, MN 56470
Phone (218) 255-3321

207 Park Ave S
Ste 2
Park Rapids, MN 56470
Phone (218) 255-3366

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1972152759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 MT HIGHWAY 287",
            "city": "TWIN BRIDGES",
            "state": "MT",
            "postal_code": "597548732",
            "telephone_number": "907-723-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 MT HIGHWAY 287",
            "city": "TWIN BRIDGES",
            "state": "MT",
            "postal_code": "597548732",
            "telephone_number": "907-723-0053",
            "fax_number": "406-684-5923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Park Ave S Ste 2",
            "address_purpose": "LOCATION",
            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "564701531",
            "country_code": "US",
            "telephone_number": "218-616-1276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "MED, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "38856",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "02561",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "38856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC LICENSE",
            "identifier": "BBH-LCPC-LIC-38856",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA LICENSE - LPC",
            "identifier": "02561",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Bridges, MT

Sources for this page

Verify at the official NPI Registry.