MR. JOSEPH BRENT SUCHANIC (NPI# 1871052134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871052134 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH BRENT SUCHANIC |
| Credential | LCPC, MFT |
| Practice Address |
500 N Higgins Ave Ste 107 Missoula MT 59802-4550 |
| Mailing Address |
1230 Otis St Apt 18 Missoula MT 59802-1747 |
| Practice Telephone | 4062851345 |
| Mailing Telephone | 4063046620 |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2020-01-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
40038 | MT | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
BBH-PCLC-LIC-324 | MT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 South Ave W Ste B, Missoula, MT 598018011 | 4062851345 |
| Street Address |
500 N HIGGINS AVE STE 107 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740679 | Mica Freeland Wolcott | Counselor | 500 N Higgins Ave Ste 107, Missoula, MT 59802-4550 | 2020-11-03 |
| 1033678396 | Guided Healing Trails LLC | Counselor | 500 N Higgins Ave Ste 107, Missoula, MT 59802-4550 | 2019-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616489 | Heather Nichols | Counselor | 12195 Pulp Mill Rd, Missoula, MT 59808-9711 | 2020-10-16 |
| 1609489822 | Chrysalis Counseling | Counselor | 1119 W Kent Ave Ste F, Missoula, MT 59801-6687 | 2020-08-27 |
| 1699305029 | Jeffrey Valentine | Counselor | 3011 American Way, Missoula, MT 59808-1921 | 2020-01-24 |
| 1861958431 | Amy Friedman | Counselor | 720 Brooks St., Missoula, MT 59801-5980 | 2019-02-19 |
| 1033683594 | Ariel Goodman | Counselor | 633 S 3rd St W Apt 4, Missoula, MT 59801-2541 | 2019-01-17 |
| 1922570324 | Beth D Howard | Counselor | 2901 W Broadway St Ste 206, Missoula, MT 59808-1773 | 2018-12-23 |
| 1972074888 | Kristin Kimberly Stratford | Counselor | 2831 Fort Missoula Rd Ste 305, Missoula, MT 59804-7479 | 2018-12-17 |
| 1043728314 | Ayme Lynne Krogstad | Counselor | 2237 S 3rd St W, Missoula, MT 59801-1334 | 2018-01-19 |
| 1821523580 | Stacey Lynn Graves | Counselor | 913 Sw Higgins Ave Ste 202, Missoula, MT 59803-1423 | 2017-05-01 |
| 1053784371 | Angela Krystal Pell | Counselor | 4210 S Reserve St, Missoula, MT 59803-1035 | 2015-11-09 |
| Find all providers in MISSOULA | ||||
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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.