LACEE ANN GEORGE GENGENBACHER (NPI# 1376804526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376804526 |
| Entity Type | Individual |
| Full Name | LACEE ANN GEORGE GENGENBACHER |
| Credential | MS |
| Practice Address |
1811 W Koch St Bozeman MT 59715-4127 |
| Mailing Address |
311 Michael Grove Ave Apt A Bozeman MT 59718-3682 |
| Practice Telephone | 4065871181 |
| Mailing Telephone | 4064227678 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1811 W KOCH ST |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184772402 | Jennifer A Leverett | Counselor | 1811 W Koch St, Bozeman, MT 59715-4127 | 2007-01-05 |
| 1750657433 | Renae Jones | Behavioral Analyst | 1811 W Koch St, Bozeman, MT 59715-4127 | 2012-03-28 |
| 1083990899 | Joylene Beth Sims | Counselor | 1811 W Koch St, Bozeman, MT 59715-4127 | 2011-10-25 |
| 1477868859 | Elizabeth Glenn James | Counselor | 1811 W Koch St, Bozeman, MT 59715-4127 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306682 | Resolve Psychotherapy Pllc | Community/Behavioral Health | 212 S 9th Ave, Bozeman, MT 59715-4306 | 2020-11-08 |
| 1407417082 | Hannah Wilson Lcpc, LLC | Community/Behavioral Health | 1801 W Olive St Apt 1, Bozeman, MT 59715-4057 | 2019-06-25 |
| 1609390509 | Rocky Mountain Counseling and Mental Health | Community/Behavioral Health | 333 Haggerty Ln Ste 13, Bozeman, MT 59715-1780 | 2017-08-01 |
| 1508215062 | Bridger Peaks Counseling & Recovery Services LLC. | Community/Behavioral Health | 141 Discovery Dr # 115, Bozeman, MT 59718-6995 | 2016-06-06 |
| 1285057141 | Lili Stiff Enterprises LLC | Community/Behavioral Health | 1 Haley Rd, Bozeman, MT 59715-9525 | 2014-01-29 |
| 1639513435 | Take Courage Coaching | Community/Behavioral Health | 3648 Academy Dr, Bozeman, MT 59715-6600 | 2013-04-23 |
| 1528218617 | Reaching Ahead Pllc | Community/Behavioral Health | 2018 Stadium Dr Ste B, Bozeman, MT 59715-0706 | 2008-09-24 |
| 1891317608 | Open Hearts Counseling, LLC | Community/Behavioral Health | 201 S Willson Ave Ste C, Bozeman, MT 59715-4602 | 2020-05-14 |
| 1699303644 | Ideal Balance Pllc | Community/Behavioral Health | 1532 Ellis St Ste 104, Bozeman, MT 59715-8809 | 2020-03-27 |
| 1043775612 | Echo Lake Counseling | Community/Behavioral Health | 411 W Mendenhall St, Bozeman, MT 59715-3404 | 2019-02-07 |
| Find all providers in BOZEMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.