Flourish Counseling Mt, Llc - Medicare Mental Health Clinic in Bozeman, MT

Flourish Counseling Mt, Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Bozeman, Montana. The current practice location for Flourish Counseling Mt, Llc is 2135 Charlotte St Ste 2, Bozeman, Montana. For appointments, you can reach them via phone at (206) 930-8970. The mailing address for Flourish Counseling Mt, Llc is Po Box 385, Bozeman, Montana and phone number is (206) 930-8970.

Flourish Counseling Mt, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063071645. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (206) 930-8970.

Contact Information

Flourish Counseling Mt, Llc
2135 Charlotte St Ste 2
Bozeman
MT 59718-2741
(206) 930-8970
Not Available

Mental Health Clinic Profile

Full NameFlourish Counseling Mt, Llc
SpecialitySocial Worker
Location2135 Charlotte St Ste 2, Bozeman, Montana
Authorized Official Name and PositionJai Kieron Rene Russell (CLINICAL SOCIAL WORKER)
Authorized Official Contact2069308970
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Flourish Counseling Mt, Llc
Po Box 385
Bozeman
MT 59771-0385

Ph: (206) 930-8970
Flourish Counseling Mt, Llc
2135 Charlotte St Ste 2
Bozeman
MT 59718-2741

Ph: (206) 930-8970

NPI Details:

NPI Number1063071645
Provider Enumeration Date06/07/2019
Last Update Date12/08/2021
Certification Date12/08/2021

Medicare PECOS Information:

Medicare PECOS PAC ID3870820459
Medicare Enrollment IDO20190805001876

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Medical Identifiers

Medical identifiers for Flourish Counseling Mt, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063071645NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Flourish Counseling Mt, Llc acts as a billing entity for following providers:
Provider NameJai Kieron Rene Anderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972162683
PECOS PAC ID: 6305171679
Enrollment ID: I20190709000966

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› Verified 9 days ago

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