MARY PENBERTHY-MACKI (NPI# 1649282500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649282500 |
| Entity Type | Individual |
| Full Name | MARY PENBERTHY-MACKI |
| Credential | LCPC |
| Practice Address |
1597 Avenue D Suite 1 Billings MT 59102-3010 |
| Practice Telephone | 4062389890 |
| Practice Fax Number | 4062940967 |
| Mailing Telephone | 4062389890 |
| Mailing Fax Number | 4062940967 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2009-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
701LCPC | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BCBS | 000075016 | 01 |
| MT | 0255119 | 05 |
| Street Address |
1597 AVENUE D SUITE 1 |
| City | BILLINGS |
| State | MT |
| Zip Code | 59102-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750821914 | Alicea Burnaugh | Occupational Therapist | 1597 Avenue D, Suite 4, Billings, MT 59102-3010 | 2017-03-06 |
| 1467999789 | Elizabeth Briskey | Speech-Language Pathologist | 1597 Avenue D, Billings, MT 59102-3010 | 2017-01-24 |
| 1316394497 | Dani Perry | Speech-Language Pathologist | 1597 Avenue D, Suite 4, Billings, MT 59102-3010 | 2016-05-19 |
| 1710128764 | Dennis W Muri | Counselor | 1597 Avenue D, Ste 7, Billings, MT 59102-3010 | 2009-03-19 |
| 1700051414 | Mpm Service Co | Counselor | 1597 Avenue D, Suite 1, Billings, MT 59102-3010 | 2008-04-23 |
| 1467626978 | Custody Consultants Inc | Counselor | 1597 Avenue D, Suite 1, Billings, MT 59102-3010 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
| 1407418080 | Lori Lyn Strickler | Massage Therapist | 2901 Monad Road, Apt. 99, Billings, MT 59102 | 2019-07-03 |
| 1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
| 1598281859 | Billings Clinic Specialty Supplies and Services, LLC | Durable Medical Equipment & Medical Supplies | 1015 Broadwater Ave Ste 102, Billings, MT 59102 | 2017-08-18 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
| 1588108120 | Angela Grimm | Counselor | 1200 30th St W, Billings, MT 59102 | 2016-12-16 |
| Find all providers in zip 59102 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407950 | Patti Barkell | Counselor | 1645 Parkhill Dr Ste 1, Billings, MT 59102-3067 | 2020-11-05 |
| 1972110773 | Brandi K Buckles | Counselor | 926 Main St Ste 18, Billings, MT 59105-3359 | 2020-09-25 |
| 1851904544 | Big Sky Behavioral Health, Inc. | Counselor | 3419 Central Ave Ste A, Billings, MT 59102-6647 | 2020-08-24 |
| 1760026090 | Nicole Bandy | Counselor | 1441 Governors Blvd, Billings, MT 59105-1505 | 2019-10-30 |
| 1144781212 | Lisa Matovich Brooke Counseling | Counselor | 512 N 29th St, Billings, MT 59101-1113 | 2019-03-29 |
| 1902363500 | Maryellen Barrett | Counselor | 1415 Bitterroot Dr, Billings, MT 59105-1821 | 2019-03-01 |
| 1659844652 | Leanna M Winslow | Counselor | 3023 Whiskey Row, Billings, MT 59101-9149 | 2019-01-02 |
| 1982186060 | Ali A Schultz Levesque | Counselor | 515 18th St W, Billings, MT 59102-4814 | 2018-09-05 |
| 1639659550 | Diane Marie Fisher | Counselor | 1001 S. 27th St., Billings, MT 59079 | 2018-08-20 |
| 1649756362 | Lynelle Amen | Counselor | 208 N 29th St Ste 231, Billings, MT 59101-1991 | 2018-07-16 |
| Find all providers in BILLINGS | ||||
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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.