KIDS BEHAVIORAL HEALTH OF MONTANA INC (NPI# 1477745370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477745370 |
| Entity Type | Organization |
| Organization Name | KIDS BEHAVIORAL HEALTH OF MONTANA INC |
| Other Organization Name | ACADIA MONTANA MENTAL HEALTH CENTER |
| Practice Address |
55 Basin Creek Rd Butte MT 59701-9704 |
| Practice Telephone | 4064944183 |
| Practice Fax Number | 4064941724 |
| Mailing Telephone | 4064944183 |
| Mailing Fax Number | 4064941724 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2011-06-30 |
| Authorized Official Name | MR. DAVE M BENNETTS (CEO) |
| Authorized Official Telephone | 4064944183 |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADIA HEALTHCARE COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
11262 | MT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0351458 | 05 |
| Other Name | Type Code |
|---|---|
| Acadia Montana Mental Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306981238 | Kids Behavioral Health of Montana Inc | Psychiatric Residential Treatment Facility | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2007-02-20 |
| Street Address |
55 BASIN CREEK RD |
| City | BUTTE |
| State | MT |
| Zip Code | 59701-9704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306981238 | Kids Behavioral Health of Montana Inc | Psychiatric Residential Treatment Facility | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2007-02-20 |
| 1073163804 | Chad Glen Stewart | Counselor | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2019-09-13 |
| 1912462086 | Emily Anna Hopper | Counselor | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2019-02-04 |
| 1710415682 | Chellie Newman | Counselor | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2017-05-23 |
| 1649707118 | Susan Crowder | Counselor | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2017-05-16 |
| 1760922470 | Deborah Rodgers | Counselor | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2017-02-28 |
| 1114467081 | Peggy Jane Wolstein | Nurse Practitioner | 55 Basin Creek Rd, Butte, MT 59701 | 2017-02-27 |
| 1205372505 | Brooke Doyle | Social Worker | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2017-01-10 |
| 1912442120 | Christina Miller | Counselor | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2016-12-23 |
| 1396289963 | Ladonna Dee Black | Counselor | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2016-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580147 | Meighan Robbins | Counselor | 3147 Wynne Ave, Butte, MT 59701 | 2019-04-01 |
| 1982174538 | Michael Jon Dahle | Social Worker | 81 W. Park St., Butte, MT 59701 | 2018-11-27 |
| 1023534997 | Kari Williams | Specialist/Technologist | 400 S Clark St., Butte, MT 59701 | 2017-08-22 |
| 1932630191 | Laura Leigh Watson | Social Worker | 3509 Whiteway, Butte, MT 59701 | 2017-03-21 |
| 1386181824 | Charles Raymond Canty | Orthopaedic Surgery | 3441 Quincy St., Butte, MT 59701 | 2017-01-23 |
| 1528500899 | Janette A Reget | Social Worker | 235 S. Crystal St., Butte, MT 59701 | 2016-11-17 |
| 1851761662 | Robin Catherine Becker | Nurse Practitioner | 209 S Montana St Ste B4, Butte, MT 59701 | 2015-10-06 |
| 1336546043 | Sara Rachel Brackett | Reflexologist | 1114 Maryland, Butte, MT 59701 | 2014-11-24 |
| 1548676117 | Laurie Ann Butkay | Technician/Technologist | 3417 Busch, Butte, MT 59701 | 2014-07-03 |
| 1760801930 | Julie Ann Monson | Counselor | 3738 Harrison Ave, Butte, MT 59701 | 2014-04-15 |
| Find all providers in zip 59701 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225429582 | Kids Behavioral Health of Montana | Clinic/Center | 3738 Harrison Ave, Altacare, Butte, MT 59701-6823 | 2015-02-09 |
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| 1003345125 | Salveo Counseling and Behavioral Health, LLC | Clinic/Center | 800 Kensington Ave Ste Ll2, Missoula, MT 59801-5670 | 2017-06-12 |
| 1437527249 | East Prairie Consulting | Clinic/Center | 519 Main St, Miles City, MT 59301-3037 | 2015-09-10 |
| 1891171435 | Alive and Well | Clinic/Center | 1611 N Fork Rd, Columbia Falls, MT 59912-9410 | 2015-08-05 |
| 1912309592 | Maureen Cordial, Lmft, Lcpc, Pllc | Clinic/Center | 701 W Spruce St, Missoula, MT 59802-3904 | 2014-09-25 |
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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.