Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timothy P Herzog, EDD, LCPC, CMPC, BCB

Individual provider Mental Health Counselor · NPI 1720238538

Timothy P Herzog, EDD, LCPC, CMPC, BCB is a Mental Health Counselor in Bozeman, Montana. Licensed in Montana and Virginia. Registered with an NPI since 2008.

Licensed in
MT, VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

2018 Stadium Dr Ste B
Bozeman, MT 59715-0706
Phone: (406) 587-3404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 0810006445 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 1334 (MT)

Record details

NPI number1720238538
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD , LCPC , CMPC , BCB
Sole proprietorNo
NPI enumeratedSeptember 29, 2008
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024

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