WESTERN MONTANA MENTAL HEALTH CENTER (NPI# 1437529021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437529021 |
| Entity Type | Organization |
| Organization Name | WESTERN MONTANA MENTAL HEALTH CENTER |
| Practice Address |
1321 Wyoming St Missoula MT 59801-1725 |
| Practice Telephone | 4065328400 |
| Practice Fax Number | 4062244402 |
| Mailing Telephone | 4065328400 |
| Mailing Fax Number | 4062244402 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2019-08-29 |
| Authorized Official Name | LEVI ANDERSON (CEO) |
| Authorized Official Telephone | 4065328400 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | 13459 | MT | Residential Treatment Facilities |
| N | 251S00000X | Community/Behavioral Health | 12652 | MT | Agencies |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
12652 | MT | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
12652 | MT | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
13459 | MT | Ambulatory Health Care Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 12652 | MT | Residential Treatment Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
12652 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 255425 | 05 | |
| MT | 320385 | 05 | |
| MT | 352248 | 05 | |
| MT | 491419 | 05 | |
| MT | 290108 | 05 | |
| MT | 320177 | 05 | |
| MT | 439161 | 05 | |
| MT | 047379 | 05 | |
| MT | 141232 | 05 | |
| MT | 320424 | 05 | |
| MT | MEDICARE PTAN | 000008376 | 01 |
| MT | 502316 | 05 | |
| MT | 601647 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1316337264 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 45 East 16th Street, Helena, MT 59601 | 2015-01-30 |
| 1881973816 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 1273 Dakota St, Missoula, MT 59801-1709 | 2011-08-09 |
| 1518246552 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 412 Windward Way, Kalispell, MT 59901-2680 | 2011-08-09 |
| 1528363793 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 1404 Westwood Dr, Hamilton, MT 59840-2315 | 2011-01-20 |
| 1720382369 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 24 E Copper St, Butte, MT 59701-9302 | 2010-12-22 |
| 1689976771 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 701 Farmhouse Ln, Bozeman, MT 59715-9419 | 2010-11-23 |
| 1912079328 | Western Montana Mental Health Center | Community/Behavioral Health | 1321 Wyoming St, Missoula, MT 59801-1725 | 2006-11-14 |
| 1548659113 | Western Montana Mental Health Center | Internal Medicine | 1201 Wyoming St, Missoula, MT 59801-1727 | 2015-01-20 |
| 1164849345 | Western Montana Mental Health Center | Community/Behavioral Health | 1315 Wyoming St, Missoula, MT 59801-1725 | 2014-03-25 |
| Street Address |
1321 WYOMING ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912079328 | Western Montana Mental Health Center | Community/Behavioral Health | 1321 Wyoming St, Missoula, MT 59801-1725 | 2006-11-14 |
| 1720583842 | Bradley Jay Wagner | Counselor | 1321 Wyoming St, Missoula, MT 59801-1725 | 2018-03-29 |
| 1114428471 | Haley Gilman | Counselor | 1321 Wyoming St, Missoula, MT 59801-1725 | 2018-02-22 |
| 1194182337 | Samantha Lynn Arcand | Counselor | 1321 Wyoming St, Missoula, MT 59801-1725 | 2016-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485747 | Courtney Richards, Lcpc, Pllc | Clinic/Center | 1048 Burlington Ave Ste 108, Missoula, MT 59801-5684 | 2020-07-24 |
| 1174158943 | We Work Relationships, Ll | Clinic/Center | 825 W Kent Ave, Missoula, MT 59801-6619 | 2020-03-11 |
| 1407494115 | Healing Mountain Mental Health | Clinic/Center | 706 Kensington Ave, Missoula, MT 59801-5720 | 2019-12-12 |
| 1922579218 | Darcey Fairchild, Lcsw, LLC | Clinic/Center | 1018 Burlington Ave Ste 206, Missoula, MT 59801-5666 | 2018-12-11 |
| 1447704150 | Kim Petersen Aprn Pllc | Clinic/Center | 1235 North Ave W, Missoula, MT 59801-6601 | 2016-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111746 | Integrative Mental Health Services, Pllc | Clinic/Center | 926 Main St Ste 14, Billings, MT 59105-3359 | 2020-10-14 |
| 1104434422 | Grace Counseling, Pllc | Clinic/Center | 1629 Avenue D Ste A4, Billings, MT 59102-3042 | 2020-07-22 |
| 1164045373 | Align Life Mental Health Mental Health Services LLC | Clinic/Center | 305 W Mercury St Ste 407, Butte, MT 59701-1672 | 2020-05-21 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1336701473 | Realization Therapy, Pllc | Clinic/Center | 115 W 3rd St Ste 205, Stevensville, MT 59870-2034 | 2019-06-28 |
| 1154802676 | Peak Mental Health, LLC | Clinic/Center | 120 S. Main St, Suite 102, Sheridan, MT 59749 | 2018-08-23 |
| 1083947055 | Sunburst Community Service Foundation, Inc | Clinic/Center | 109 1st Avenue, St Ignatius, MT 59865 | 2009-09-09 |
| 1487885539 | Falls Neuropsychological Services, P.C. | Clinic/Center | 1601 2nd Ave N Ste 650, Great Falls, MT 59401-3223 | 2009-08-06 |
| 1629104229 | Lds Family Services | Clinic/Center | 2620 Colonial Dr Ste D, Helena, MT 59601-8042 | 2007-02-26 |
| 1710994843 | New Life Counseling P.C. | Clinic/Center | 121 W Magnolia Dr, Belgrade, MT 59714-9584 | 2006-08-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.