WESTERN MONTANA MENTAL HEALTH CENTER (NPI# 1912079328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912079328 |
| 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 | 2006-11-14 |
| 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 | 251S00000X | Community/Behavioral Health | 11034 | MT | Agencies |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
11034 | MT | Ambulatory Health Care Facilities |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
11034 | MT | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
11034 | MT | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
258 07 | MT | Ambulatory Health Care Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 13459 | MT | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 13459 | MT | Residential Treatment Facilities |
| Y | 251B00000X | Case Management | 11034 | MT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 255425 | 05 | |
| MT | 290108 | 05 | |
| MT | 320424 | 05 | |
| MT | 141232 | 05 | |
| MT | 491419 | 05 | |
| MT | PTAN | 000008376 | 01 |
| MT | 320177 | 05 | |
| MT | 320385 | 05 | |
| MT | 502316 | 05 | |
| MT | 439161 | 05 | |
| MT | 601647 | 05 | |
| MT | 047379 | 05 | |
| MT | 352248 | 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 |
| 1437529021 | Western Montana Mental Health Center | Substance Abuse Rehabilitation Facility | 1321 Wyoming St, Missoula, MT 59801-1725 | 2015-09-25 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1437529021 | Western Montana Mental Health Center | Substance Abuse Rehabilitation Facility | 1321 Wyoming St, Missoula, MT 59801-1725 | 2015-09-25 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1124308846 | Evolution Services, Inc. | Case Management | 520 S 3rd St W, Missoula, MT 59801-2518 | 2011-08-25 |
| 1265752034 | Mountain Home Montana, Inc. | Case Management | 2606 South Ave W, Missoula, MT 59804-6406 | 2010-06-03 |
| 1750411211 | Community Medical Center | Case Management | 607 Sw Higgins Ave, Missoula, MT 59803-1468 | 2007-03-06 |
| 1447389077 | Missoula Area Agency On Aging | Case Management | 337 Stephens Ave, Missoula, MT 59801-3816 | 2007-03-02 |
| 1760871321 | Rchp Billings - Missoula LLC | Case Management | 2827 Fort Missoula Rd, Missoula, MT 59804-7408 | 2015-01-20 |
| 1841550621 | Youth Homes | Case Management | 550 N California St, Missoula, MT 59802 | 2012-05-25 |
| 1275690091 | Partners In Home Care, Inc | Case Management | 2687 Palmer St, Suite B, Missoula, MT 59808-1710 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803145 | Jeremy Austin | Case Management | 423 1/2 Kuhlman Dr, Billings, MT 59105-2450 | 2020-08-26 |
| 1881134583 | Western Montana Works LLC | Case Management | 1147 Homesteaders Way, Marion, MT 59925-9888 | 2017-02-28 |
| 1841645660 | Action for Eastern Montana | Case Management | 11 S 7th St Ste 140, Miles City, MT 59301-3241 | 2016-04-29 |
| 1083053151 | Community, Counseling & Correctional Services, Inc. | Case Management | 630 W. Mercury St., Butte, MT 59701 | 2013-06-21 |
| 1417390493 | Bitterroot Mental Health, Inc. | Case Management | 162 S 2nd St, Hamilton, MT 59840-2517 | 2013-04-09 |
| 1518201102 | Blackfeet Family Wellness Center | Case Management | 210 Us Highway 89, Browning, MT 59417-9721 | 2012-11-20 |
| 1811266182 | Benefis Spectrum Medical, Inc. | Case Management | 315 N 24th St, Billings, MT 59101-1311 | 2011-12-15 |
| 1801165170 | Benefis Spectrum Medical, Inc. | Case Management | 2210 Us Highway 93 S Unit A, Kalispell, MT 59901-7530 | 2011-12-15 |
| 1972816296 | Stevenson Consulting Services | Case Management | 65 Commons Way, Kalispell, MT 59901-1908 | 2010-07-15 |
| 1407069545 | Area X Agency On Aging | Case Management | 2 2nd St W, Havre, MT 59501-3434 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WESTERN MONTANA MENTAL HEALTH CENTER.
| 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.