MRS. ELLIE VICTORIA SHATTUCK PCLC
NPI 1962274662
Counselor - Mental Health in Bozeman, MT

Active since October 25, 2023
1970 STADIUM DR STE B, BOZEMAN, MT 59715(704) 574-0383 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Ellie Victoria Shattuck Pclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELLIE VICTORIA SHATTUCK PCLC (NPI 1962274662) is an individual mental health provider in Bozeman, Montana, licensed in Montana (BBH-PCLC-LIC-48422) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1962274662
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ELLIE VICTORIA SHATTUCKCredential: PCLC
Location Address1970 STADIUM DR STE BBozeman, MT 59715-0623
Mailing Address500 Westgate AveBozeman, MT 59718-2503 · (704) 574-0383
Sole ProprietorYes
Enumeration DateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
NPI 1962274662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MT · BBH-PCLC-LIC-48422
1970 STADIUM DR STE B, Bozeman, MT 59715

Other Names 1

Former Name (1)Ms. Ellie Victoria Smith

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1970 STADIUM DR STE B
BOZEMAN, MT 59715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellie Shattuck's NPI number?

The NPI number for Ellie Shattuck is 1962274662. It was assigned to this individual provider in the NPPES registry on October 25, 2023. The provider is also known as Ms. Ellie Victoria Smith.

Where is Ellie Shattuck located?

Ellie Shattuck practices at 1970 Stadium Dr Ste B, Bozeman, MT 59715. The listed phone number is (704) 574-0383.

What is Ellie Shattuck's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Ellie Shattuck accept?

Health plans from Mountain Health CO-OP list Ellie Shattuck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellie Shattuck was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.