MRS. MICHELLE R FELLER (NPI# 1861494452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861494452 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE R FELLER |
| Other Name | MICHELLE R FELLER |
| Credential | LCPC |
| Practice Address |
2423 Mullan Rd Missoula MT 59808-1827 |
| Mailing Address |
1720 Dino Court Missoula MT 59808-5703 |
| Practice Telephone | 4063661604 |
| Mailing Telephone | 4063661604 |
| Mailing Fax Number | 4065384564 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
959 | MT | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
959-LCPC | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0253198 | 05 | |
| BLUECROSS/BLUESHIELD | 744623 | 01 | |
| APS HEALTHCARE | F1081 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1720 Dino Ct, Missoula, MT 598088747 | 4063661604 | 4065384564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878214 | Michelle Renee Feller | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2019-12-20 |
| Street Address |
2423 MULLAN RD |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962033605 | Chelci Marie Bruno | Counselor | 2423 Mullan Rd, Missoula, MT 59808-1827 | 2020-01-31 |
| 1366085219 | Whitney Rose, Lcsw, Pllc | Social Worker | 2423 Mullan Rd, Missoula, MT 59808-1827 | 2019-10-23 |
| 1174977599 | Whitney Rose | Social Worker | 2423 Mullan Rd, Missoula, MT 59808-1827 | 2016-04-21 |
| 1649353764 | Eileen C. Robbins | Nurse Practitioner | 2423 Mullan Rd, Missoula, MT 59808-1827 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616489 | Heather Nichols | Counselor | 12195 Pulp Mill Rd, Missoula, MT 59808-9711 | 2020-10-16 |
| 1609489822 | Chrysalis Counseling | Counselor | 1119 W Kent Ave Ste F, Missoula, MT 59801-6687 | 2020-08-27 |
| 1699305029 | Jeffrey Valentine | Counselor | 3011 American Way, Missoula, MT 59808-1921 | 2020-01-24 |
| 1871052134 | Joseph Brent Suchanic | Counselor | 500 N Higgins Ave Ste 107, Missoula, MT 59802-4550 | 2019-03-17 |
| 1861958431 | Amy Friedman | Counselor | 720 Brooks St., Missoula, MT 59801-5980 | 2019-02-19 |
| 1033683594 | Ariel Goodman | Counselor | 633 S 3rd St W Apt 4, Missoula, MT 59801-2541 | 2019-01-17 |
| 1922570324 | Beth D Howard | Counselor | 2901 W Broadway St Ste 206, Missoula, MT 59808-1773 | 2018-12-23 |
| 1972074888 | Kristin Kimberly Stratford | Counselor | 2831 Fort Missoula Rd Ste 305, Missoula, MT 59804-7479 | 2018-12-17 |
| 1043728314 | Ayme Lynne Krogstad | Counselor | 2237 S 3rd St W, Missoula, MT 59801-1334 | 2018-01-19 |
| 1821523580 | Stacey Lynn Graves | Counselor | 913 Sw Higgins Ave Ste 202, Missoula, MT 59803-1423 | 2017-05-01 |
| 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.