SUNRISE WELLNESS CENTER, LLC (NPI# 1962063396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962063396 |
| Entity Type | Organization |
| Organization Name | SUNRISE WELLNESS CENTER, LLC |
| Practice Address |
1405 4th St Sw Ste 2 Sidney MT 59270-3515 |
| Mailing Address |
Po Box 1407 Sidney MT 59270-1407 |
| Practice Telephone | 4069391564 |
| Mailing Telephone | 4066434095 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | JESSICA DANIELLE MCDANOLD (OWNER/THERAPIST) |
| Authorized Official Telephone | 4066434095 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1405 4TH ST SW STE 2 |
| City | SIDNEY |
| State | MT |
| Zip Code | 59270-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940027 | Sarah Ann Perrault | Counselor | 1405 4th St Sw Ste 2, Sidney, MT 59270-3515 | 2019-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104042316 | Eagle Life Chiropractic PC | Chiropractor | 12019 Hwy 16, Sidney, MT 59270 | 2007-04-17 |
| 1790831444 | County of Richland | Public Health or Welfare | 1201 West Holly St., Suite #1, Sidney, MT 59270 | 2007-01-26 |
| 1407929524 | Rajohn Karanjai | Internal Medicine | 214 14th Ave Sw Ste 110, Sidney, MT 59270 | 2006-11-16 |
| 1740326859 | Orin Pete Council | Family Medicine | 214 14th Ave Sw, Suite 104, Sidney, MT 59270 | 2007-01-29 |
| 1972681831 | Edward Lewis Pierce | Internal Medicine | 214 14th Ave Sw, Suite 112, Sidney, MT 59270 | 2006-11-01 |
| 1902980907 | Edward Patrick Bergin | Surgery | 214 14th Ave Sw, Suite 105, Sidney, MT 59270 | 2006-10-25 |
| 1275616104 | Brett Russell Bennion | Ophthalmology | 214 14th Ave Sw, Suite 101, Sidney, MT 59270 | 2006-10-23 |
| 1770540254 | Jennifer Adams | Radiology | 216 14th Ave Sw, Sidney, MT 59270 | 2006-04-27 |
| 1497743959 | Sidney Health Center | Durable Medical Equipment & Medical Supplies | 214 14th Ave Sw, Sidney, MT 59270 | 2005-10-10 |
| 1740345776 | Roger Allan Anderson | Optometrist | 1405 4th St Sw, West Side Professional Center Ste 2, Sidney, MT 59270-3515 | 2006-12-27 |
| Find all providers in zip 59270 | ||||
| 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 |
|---|---|---|---|---|
| 1821240292 | Jean N. Hair Counseling Services Ince | Community/Behavioral Health | 1783 Pond Road, Sidney, ME 04330 | 2008-10-16 |
| 1639231905 | Shelby County Recovery Inc. | Community/Behavioral Health | 202 N Walnut Ave, Sidney, OH 45365-2626 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306682 | Resolve Psychotherapy Pllc | Community/Behavioral Health | 212 S 9th Ave, Bozeman, MT 59715-4306 | 2020-11-08 |
| 1639786601 | Copper Creek Counseling, LLC | Community/Behavioral Health | 305 W Mercury St Ste 103, Butte, MT 59701-1672 | 2020-09-24 |
| 1720604226 | Healing Journey Psychiatry Pllc | Community/Behavioral Health | 99 Mills Spring Rd Ste 6, Eureka, MT 59917-9773 | 2020-06-19 |
| 1407417082 | Hannah Wilson Lcpc, LLC | Community/Behavioral Health | 1801 W Olive St Apt 1, Bozeman, MT 59715-4057 | 2019-06-25 |
| 1902360225 | Kara Lynn Mccoy | Community/Behavioral Health | 4289 Highway 78, Columbus, MT 59019-7493 | 2019-01-31 |
| 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 |
| 1609390509 | Rocky Mountain Counseling and Mental Health | Community/Behavioral Health | 333 Haggerty Ln Ste 13, Bozeman, MT 59715-1780 | 2017-08-01 |
| 1134641640 | Michelle Moles Lcsw Lac | Community/Behavioral Health | 101 E Broadway St Ste 602, Missoula, MT 59802-4594 | 2017-07-17 |
| 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.