Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicolette Green

Individual provider Mental Health Counselor · NPI 1194435792

Nicolette Green is a Mental Health Counselor in Bozeman, Montana. Qualified in 2021, 5 years ago. Licensed in Montana.

Years since qualifying
5
Licensed in
MT
In the registry since
2022
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Practice location Address checks out

2246 Boothill Ct Ste 3
Bozeman, MT 59715-7213
Phone: (406) 579-4984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 59635 (MT)

Record details

NPI number1194435792
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2022
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022
Mailing address2246 Boothill Ct Ste 3, Bozeman, MT 59715-7213

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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