Provider Demographics
NPI:1174292965
Name:ELSENPETER, JANII (LCPC)
Entity Type:Individual
Prefix:
First Name:JANII
Middle Name:
Last Name:ELSENPETER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30134
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-0134
Mailing Address - Country:US
Mailing Address - Phone:406-534-9826
Mailing Address - Fax:
Practice Address - Street 1:1620 ALDERSON AVE UNIT 23
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4168
Practice Address - Country:US
Practice Address - Phone:406-534-9826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-07
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-50356101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional