PHOENIX MOUNTAIN COLLABORATIVE DBA EXPLORATIONS (NPI# 1821444340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821444340 |
| Entity Type | Organization |
| Organization Name | PHOENIX MOUNTAIN COLLABORATIVE DBA EXPLORATIONS |
| Practice Address |
119 S Hill Rd Trout Creek MT 59874-9634 |
| Mailing Address |
119 S Hill Rd P.o. Box 1469 Trout Creek MT 59874-9634 |
| Practice Telephone | 4068273863 |
| Practice Fax Number | 4068274072 |
| Mailing Telephone | 4068273863 |
| Mailing Fax Number | 4068274072 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | PENELOPE JAMES (DIRECTOR & CO-FOUNDER) |
| Authorized Official Telephone | 4068273863 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | PAP-PAP-LIC-21 | MT | Residential Treatment Facilities |
| Street Address |
119 S HILL RD |
| City | TROUT CREEK |
| State | MT |
| Zip Code | 59874-9634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033453964 | Lilian Georgi | Massage Therapist | 2981 Highway 200, Trout Creek, MT 59874-1283 | 2012-11-15 |
| 1154747178 | Tanya T Kern | Massage Therapist | 39 Vinson Mill Road, Trout Creek, MT 59874-1542 | 2014-03-14 |
| 1396805024 | Robert Leroy Kaiser | Chiropractor | 2981 Highway 200, Trout Creek, MT 59874-1612 | 2006-12-11 |
| 1679979355 | Heidi Reishus | Counselor | 16 Flockerzi Rd, Trout Creek, MT 59874-9547 | 2014-11-07 |
| 1396921334 | Cheri L Lambrecht | Counselor | 70 Bear Tracks Ln, Trout Creek, MT 59874-9620 | 2008-01-19 |
| 1497023451 | Ryan J. Frields | Counselor | 396 Big Beaver Creek Rd, Trout Creek, MT 59874-9630 | 2011-12-06 |
| 1700319092 | 20 Peaks Ranch, Inc. | Substance Abuse Rehabilitation Facility | 391 Big Beaver Creek Rd, Trout Creek, MT 59874-9631 | 2017-04-04 |
| 1932610920 | Peak Lac Counseling LLC | Counselor | 391 Big Beaver Creek Rd, Trout Creek, MT 59874-9631 | 2017-10-17 |
| 1659916567 | Megan Taylor Stevens | Massage Therapist | 2 Cedar St, Trout Creek, MT 59874-9648 | 2019-11-14 |
| 1962676031 | County of Sanders Trout Creek School District 6 | Local Education Agency (LEA) | 4 School Ln, Trout Creek, MT 59874-9671 | 2008-04-18 |
| Find all providers in zip 59874 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760017701 | Prosper Adolescent Care LLC | Psychiatric Residential Treatment Facility | 31733 S Fork Yaak Rd Ste B, Troy, MT 59935-8681 | 2020-03-10 |
| 1578769980 | Clearview Horizon Inc | Psychiatric Residential Treatment Facility | 20 Bear Foot Ln, Heron, MT 59844-9522 | 2007-06-22 |
| 1306981238 | Kids Behavioral Health of Montana Inc | Psychiatric Residential Treatment Facility | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2007-02-20 |
| 1912456856 | Reflections Academy, Inc. | Psychiatric Residential Treatment Facility | 171 Harlow Rd, Thompson Falls, MT 59873 | 2016-10-03 |
| 1255704508 | Montana Children's Home and Hospital | Psychiatric Residential Treatment Facility | 2755 Colonial Dr, Helena, MT 59601-4926 | 2015-11-09 |
| 1952740508 | Acadia Healthcare | Psychiatric Residential Treatment Facility | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2013-06-17 |
| 1770921868 | Chrysalis | Psychiatric Residential Treatment Facility | 77 Trails End Rd, Eureka, MT 59917-9332 | 2013-06-11 |
| 1184806432 | Montana Academy, Incorporated | Psychiatric Residential Treatment Facility | 9705 Lost Prairie Rd, Marion, MT 59925-9844 | 2007-11-28 |
| 1386836286 | Kids Behavioral Health of Montana | Psychiatric Residential Treatment Facility | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2007-08-14 |
| 1558553453 | Kids Behavioral Health of Montana | Psychiatric Residential Treatment Facility | 55 Basin Creek Rd, Butte, MT 59701-9704 | 2007-08-14 |
| Find all providers with the same taxonomy | ||||
| City | TROUT CREEK |
| Zip Code | 59874 |
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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.