WESTERN MONTANA MENTAL HEALTH CENTER (NPI# 1548659113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548659113 |
| Entity Type | Organization |
| Organization Name | WESTERN MONTANA MENTAL HEALTH CENTER |
| Practice Address |
1201 Wyoming St Missoula MT 59801-1727 |
| Mailing Address |
140 N Russell St Missoula MT 59801-1704 |
| Practice Telephone | 4065328400 |
| Practice Fax Number | 4065439316 |
| Mailing Telephone | 4065328400 |
| Mailing Fax Number | 4062244402 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2018-02-16 |
| Authorized Official Name | JODI DALY (CEO) |
| Authorized Official Telephone | 4065328400 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
90514 | MT | Allopathic & Osteopathic Physicians |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
13459 | MT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
90514 | MT | Behavioral Health & Social Service Providers |
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
13459 | MT | Allopathic & Osteopathic Physicians |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
90514 | MT | Ambulatory Health Care Facilities |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
13459 | MT | Ambulatory Health Care Facilities |
| N | 363A00000X | Physician Assistant | 13459 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 90514 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
13459 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
90514 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 13459 | MT | Residential Treatment Facilities |
| 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 |
| 1164849345 | Western Montana Mental Health Center | Community/Behavioral Health | 1315 Wyoming St, Missoula, MT 59801-1725 | 2014-03-25 |
| Street Address |
1201 WYOMING ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376574871 | Marc C Mentel | Family Medicine | 1201 Wyoming St, Missoula, MT 59801-1727 | 2006-07-05 |
| 1841841590 | Jacklyn Joan Pfister | Physician Assistant | 1201 Wyoming St, Missoula, MT 59801-1727 | 2019-09-24 |
| 1295381994 | Jennifer Kate Smith | Counselor | 1201 Wyoming St, Missoula, MT 59801-1727 | 2019-08-18 |
| 1780246637 | Janie Quilici | Counselor | 1201 Wyoming St, Missoula, MT 59801-1727 | 2019-07-01 |
| 1437696028 | Lindsey Hoerner | Counselor | 1201 Wyoming St, Missoula, MT 59801-1727 | 2017-01-20 |
| 1013307057 | Melissa Hanks | Counselor | 1201 Wyoming St, Missoula, MT 59801-1727 | 2015-01-29 |
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
|---|---|---|---|---|
| 1740764166 | Aspen Assessment & Counseling Services | Substance Abuse Rehabilitation Facility | 505 W Main St Ste 316, Lewistown, MT 59457-5703 | 2018-09-21 |
| 1740552272 | Jim Christopher Martinez | Substance Abuse Rehabilitation Facility | 4880 Us Highway 93 S, Kalispell, MT 59901-7985 | 2012-01-30 |
| 1043547383 | Family Solutions Network, Inc. | Substance Abuse Rehabilitation Facility | 31733 South Fork Rd, Troy, MT 59935 | 2009-11-06 |
| 1144372012 | Wilderness Alternative School, Inc | Substance Abuse Rehabilitation Facility | 200 Hubbart Dam Rd, Marion, MT 59925-9708 | 2007-01-18 |
| 1952464448 | Rocky Mountain Treatment Center | Substance Abuse Rehabilitation Facility | 920 4th Ave N, Great Falls, MT 59401-1514 | 2006-12-18 |
| 1497765150 | State of Montana | Substance Abuse Rehabilitation Facility | 2500 Continental Dr, Butte, MT 59701-6565 | 2006-08-08 |
| 1285073403 | Rimrock Foundation | Substance Abuse Rehabilitation Facility | 1231 N 29th St, Billings, MT 59101-0122 | 2013-06-20 |
| 1003172503 | Alternative Youth Care | Substance Abuse Rehabilitation Facility | 4880 Us Highway 93 S, Kalispell, MT 59901-7985 | 2012-04-09 |
| 1902122427 | Fort Belknap Indian Community | Substance Abuse Rehabilitation Facility | 656 Agency Main St, Harlem, MT 59526 | 2010-04-08 |
| 1811210578 | White Sky Hope Center | Substance Abuse Rehabilitation Facility | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2010-03-10 |
| 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.