WESTERN MONTANA MENTAL HEALTH CENTER (NPI# 1164849345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164849345 |
| Entity Type | Organization |
| Organization Name | WESTERN MONTANA MENTAL HEALTH CENTER |
| Practice Address |
1315 Wyoming St Missoula MT 59801-1725 |
| Mailing Address |
1315 Wyoming Street Missoula MT 59801 |
| Practice Telephone | 4064329700 |
| Practice Fax Number | 4065413035 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Authorized Official Name | MS. KIMBERLEY MICHELLE PETERSEN (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Telephone | 4065329700 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 25102 | MT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | NPI | 1508000878 | 01 |
| 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 |
| 1912079328 | Western Montana Mental Health Center | Community/Behavioral Health | 1321 Wyoming St, Missoula, MT 59801-1725 | 2006-11-14 |
| 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 |
| Street Address |
1315 WYOMING ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124033006 | Daniel Brzozowski | Social Worker | 1315 Wyoming St, Missoula, MT 59801-1725 | 2006-07-30 |
| 1669005526 | Heather Marie Judkins | Nurse Practitioner | 1315 Wyoming St, Missoula, MT 59801-1725 | 2020-02-19 |
| 1538710884 | Jillian Andersch | Counselor | 1315 Wyoming St, Missoula, MT 59801-1725 | 2019-09-26 |
| 1326508342 | Sarah Mcnair | Social Worker | 1315 Wyoming St, Missoula, MT 59801-1725 | 2019-03-25 |
| 1023525854 | Partnership Health Center Inc. | Clinic/Center | 1315 Wyoming St, Missoula, MT 59801-1725 | 2018-01-02 |
| 1598203291 | Kimberly Apryle | Counselor | 1315 Wyoming St, Missoula, MT 59801-1725 | 2017-02-02 |
| 1053863597 | Kelsey Parke | Counselor | 1315 Wyoming St, Missoula, MT 59801-1725 | 2016-11-01 |
| 1194273730 | Kaley Radermacher | Social Worker | 1315 Wyoming St, Missoula, MT 59801-1725 | 2016-09-12 |
| 1740737022 | Danyel N Longmire | Counselor | 1315 Wyoming St, Missoula, MT 59801-1725 | 2016-09-05 |
| 1598177925 | Brian Jerome Sharkey Jr. | Counselor | 1315 Wyoming St, Missoula, MT 59801-1725 | 2014-05-20 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1134641640 | Michelle Moles Lcsw Lac | Community/Behavioral Health | 101 E Broadway St Ste 602, Missoula, MT 59802-4594 | 2017-07-17 |
| 1114160504 | Kristen Kallemeyn | Community/Behavioral Health | 511 Rollins St, Missoula, MT 59801-3720 | 2009-04-14 |
| 1649390881 | Friends To Youth Inc. | Community/Behavioral Health | 1515 E Broadway St, Missoula, MT 59802-4929 | 2007-03-30 |
| 1912079328 | Western Montana Mental Health Center | Community/Behavioral Health | 1321 Wyoming St, Missoula, MT 59801-1725 | 2006-11-14 |
| 1134757198 | Ideal Balance Pllc | Community/Behavioral Health | 2685 Palmer St Ste D, Missoula, MT 59808-1709 | 2020-03-27 |
| 1205390861 | Larissa Olson, Lcsw Pllc | Community/Behavioral Health | 690 Sw Higgins Ave Ste B, Missoula, MT 59803-1433 | 2019-01-29 |
| 1720569213 | Mitch Guerette Lcsw LLC | Community/Behavioral Health | 1001 Sw Higgins Ave Ste 206, Missoula, MT 59803-1340 | 2018-08-23 |
| 1518409846 | Simply Assessments | Community/Behavioral Health | 2798 Meriwether St, Missoula, MT 59803-2934 | 2016-11-17 |
| 1720539745 | Valeo Behavioral Health, LLC | Community/Behavioral Health | 1600 North Ave W Ste 106, Missoula, MT 59801-5500 | 2016-10-14 |
| 1306393194 | Dana Eisenberg, Lcsw Counseling and Consultation, LLC | Community/Behavioral Health | 528 Cleveland St, Missoula, MT 59801-3743 | 2016-09-08 |
| 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.