MRS. EVELYN ANN O LEARY BENNETT RN LCPC NPI 1043398571

NPI Information

  • NPI: 1043398571
  • Provider Name: MRS. EVELYN ANN O LEARY BENNETT, RN LCPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 127 N HIGGINS AVE RM 206
    MISSOULA, MT
    ZIP 59802
  • Phone: (406) 549-2625

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NPI Details

MRS. Evelyn Ann O Leary Bennett, RN LCPC is a professional counselor in Missoula, MT. MRS. Evelyn Ann O Leary Bennett, RN LCPC NPI is 1043398571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

127 N HIGGINS AVE RM 206
MISSOULA, MT
ZIP 59802-457
Phone: (406) 549-2625

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional484LCPCMONTANAYes
2163WR0400XRegistered NurseRehabilitation09268MONTANAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113005657OTHERMONTANAMT ST FUND PAYEE
20253657MEDICAIDMONTANA
300080078MEDICARE ID-TYPE UNSPECIFIEDMONTANA
474903OTHERMONTANABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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