DIVERSIFIED THERAPEUTIC SERVICES, PLLC (NPI# 1588216535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588216535 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED THERAPEUTIC SERVICES, PLLC |
| Practice Address |
30 E Washinton St, Suite A Kalispell MT 59901 |
| Mailing Address |
175 Hutton Ranch Rd Ste 103 Kalispell MT 59901-2142 |
| Practice Telephone | 4064714296 |
| Mailing Telephone | 4064714296 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Authorized Official Name | JACKSON HOKANSON (MSW THERAPIST) |
| Authorized Official Telephone | 4062909039 |
| Authorized Official Credential | SWLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
30 E WASHINTON ST, SUITE A |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| 1679961841 | Donna Earley | Nurse's Aide | 99 Maple Way, Kalispell, MT 59901 | 2014-12-22 |
| Find all providers in zip 59901 | ||||
| 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 |
|---|---|---|---|---|
| 1023642378 | Aspire Counseling Center L.L.C. | Clinic/Center | 428 1st Ave W, Kalispell, MT 59901-4836 | 2020-02-26 |
| 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 |
| 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 |
| 1609485747 | Courtney Richards, Lcpc, Pllc | Clinic/Center | 1048 Burlington Ave Ste 108, Missoula, MT 59801-5684 | 2020-07-24 |
| 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.