| Ncenter, Llc | |
|
1001 W Oak St Ste 205 Bozeman MT 59715-8757 | |
| (406) 599-2492 | |
| Not Available |
| Full Name | Ncenter, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1001 W Oak St Ste 205, Bozeman, Montana |
| Authorized Official Name and Position | Demetri Jan Matney (DIRECTOR) |
| Authorized Official Contact | 4065992492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncenter, Llc 119 W Cleveland St Bozeman MT 59715-5205 Ph: (406) 599-2492 | Ncenter, Llc 1001 W Oak St Ste 205 Bozeman MT 59715-8757 Ph: (406) 599-2492 |
| NPI Number | 1124435730 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Medicare PECOS PAC ID | 0547569204 |
|---|---|
| Medicare Enrollment ID | O20160502000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124435730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 326 (Montana) | Primary |
| Provider Name | Lisa A Murdoch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144337940 PECOS PAC ID: 0749266278 Enrollment ID: I20130606000202 |
| Provider Name | Kathryn M Lloyd |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538425590 PECOS PAC ID: 1658653118 Enrollment ID: I20170724002115 |
| Provider Name | Jessica K. Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407333438 PECOS PAC ID: 2769720465 Enrollment ID: I20190205000443 |
| Provider Name | Jacqueline H Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407997471 PECOS PAC ID: 9537408513 Enrollment ID: I20190309000004 |
| Provider Name | Candice Marie Vann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801370192 PECOS PAC ID: 3173922648 Enrollment ID: I20210603001610 |
| Provider Name | Christalie Kuglin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538891486 PECOS PAC ID: 9739539073 Enrollment ID: I20231228001494 |
| Provider Name | Ruth Story |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700173499 PECOS PAC ID: 4880046580 Enrollment ID: I20240118001573 |
| Provider Name | Susan Jedd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972933018 PECOS PAC ID: 7214371459 Enrollment ID: I20240215003500 |
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