EXTRAORDINARY DISTANCES (NPI# 1841820669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841820669 |
| Entity Type | Organization |
| Organization Name | EXTRAORDINARY DISTANCES |
| Practice Address |
178 W Lyndale Ave Helena MT 59601-2822 |
| Practice Telephone | 4064432455 |
| Mailing Telephone | 4064432455 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | ERICA H. DURHAM (PRINCIPAL) |
| Authorized Official Telephone | 4064432455 |
| Authorized Official Credential | CBHPSS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
178 W LYNDALE AVE |
| City | HELENA |
| State | MT |
| Zip Code | 59601-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
| 1386287795 | Intermountain Chiropractic | Chiropractor | 62 S Last Chance Gulch St. #a, Helena, MT 59601 | 2019-10-18 |
| 1417443086 | Christopher Robert Vanhorssen | Nurse Practitioner | 2619 Colonial Dr # A, Helena, MT 59601 | 2018-07-07 |
| 1548754914 | Morgan M Wagner | Physical Therapist | 25 Neill Ave, Ste 209, Helena, MT 59601 | 2018-06-19 |
| 1598254534 | Meghan E. Harrington | Speech-Language Pathologist | 15 W 6th Ave Unit H2, Helena, MT 59601 | 2018-05-04 |
| 1952820219 | Susan Wood | Physical Therapist | 3207 Colonial Dr, Helena, MT 59601 | 2017-09-18 |
| 1992223200 | James E Dempsey | Counselor | 1201 Leslie Ave, Helena, MT 59601 | 2017-09-07 |
| 1770005811 | Big Sky Managed Care | Pharmacy | 900 Jackson St Ste A, Helena, MT 59601 | 2017-07-11 |
| 1760916084 | Adrian D Strange | Physical Therapy Assistant | 2475 Winne Avenue, Helena, MT 59601 | 2017-04-13 |
| 1821539909 | Survivors Boutique | Prosthetic/Orthotic Supplier | 1054 Helena Ave, Helena, MT 59601 | 2017-03-09 |
| Find all providers in zip 59601 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178315 | One Recovery Counseling Services | Community/Behavioral Health | 101 N Last Chance Gulch Ste 205, Helena, MT 59601-4121 | 2019-01-18 |
| 1881167534 | Cam Services | Community/Behavioral Health | 1 Washington Pl Uppr, Helena, MT 59601-6265 | 2019-01-05 |
| 1043701014 | Clearman Counseling and Mental Health Services | Community/Behavioral Health | 414 N Benton Ave Ste F, Helena, MT 59601-5040 | 2018-05-24 |
| 1568837730 | Leigh Fahlquist, LLC | Community/Behavioral Health | 1159 Toucan Rd., Helena, MT 59602 | 2015-12-14 |
| 1134525215 | Wojciechowski Counseling Services, Pllc | Community/Behavioral Health | 24 Colter Loop Dr, Helena, MT 59602-7757 | 2014-11-17 |
| 1811331051 | Mind Spa PC | Community/Behavioral Health | 314 N Last Chance Gulch, Suite 306, Helena, MT 59601-5012 | 2013-04-18 |
| 1366795775 | Galloway Family Counseling, LLC | Community/Behavioral Health | 622 Pecan, Helena, AR 72342-3260 | 2012-10-23 |
| 1598049777 | Intermountain Cts | Community/Behavioral Health | 1005 Partridge Pl, Helena, MT 59602-0527 | 2011-10-05 |
| 1396078713 | Fresh Steps Eap, Inc. | Community/Behavioral Health | 6515 Green Meadow Dr, Helena, MT 59602-8115 | 2009-09-16 |
| 1811140338 | Counseling Services of Eastern Arkansas | Community/Behavioral Health | 613 Rightor St, Helena, AR 72342-3223 | 2008-10-28 |
| Find all providers in HELENA | ||||
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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.