MEDICARE: MS. BECKY J. FROST LCPC, MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	1188	MT
2	101YP2500X	Professional Counselor	1188	MT

General Provider Information

NPI Number	:	1649358755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BECKY J. FROST LCPC, MA

Provider Business Mailing Address
First Line	:	PO BOX 7774
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59807-7774
Country	:	US
Telephone Number	:	406-546-9455
Fax Number	:	406-728-5178

Provider Business Practice Location Address
First Line	:	235 N 1ST ST W
Second Line	:	STE C
City	:	MISSOULA
State	:	MT
Zip	:	59802-3661
Country	:	US
Telephone Number	:	406-546-9455
Fax Number	:	406-728-5178

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	03/06/2025

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