MICHAEL WAYNE HETHERINGTON LCPC NPI 1528574423

NPI Information

NPI: 1528574423
Provider Name: MICHAEL WAYNE HETHERINGTON, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4255 KIMBERWICKE ST
BOZEMAN, MT
ZIP 59718
Phone: (406) 522-6300
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Michael Wayne Hetherington, LCPC is a mental health counselor in Bozeman, MT. Michael Wayne Hetherington, LCPC NPI is 1528574423. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4255 KIMBERWICKE ST
BOZEMAN, MT
ZIP 59718-700
Phone: (406) 522-6300

The enumeration date for this NPI number is 12/14/2017 and was last updated on 1/24/2022.

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
1	101YM0800X	Counselor	Mental Health	BBH-LCPC-LIC-26162	MONTANA	Yes

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
1	1477745370	MEDICAID	MONTANA

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: 11/14/2023

NPI Synchronization or Removal

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