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WHOLLY AUTHENTIC LIFE LLC
NPI 1043930993
Clinic/Center in Fairfield, MT

Active since August 31, 2022
201 1ST AVE N, FAIRFIELD, MT 59436(406) 799-2711(406) 467-3407 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 5, 2022, Aug 31, 2022 (2 updates tracked since 2022).

About Wholly Authentic Life Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHOLLY AUTHENTIC LIFE LLC (NPI 1043930993) is a healthcare organization registered as a clinic/center in Fairfield, Montana and active in the NPI registry since August 2022. The organization lists Tammie S Smith, Mbr, as its authorized official.

NPPES Registry Identity

NPI1043930993
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWHOLLY AUTHENTIC LIFE LLC
Location Address201 1ST AVE NFairfield, MT 59436-9245
Mailing AddressPo Box 907Fairfield, MT 59436-0907 · (406) 799-2711 · Fax (406) 467-3407
Phone(406) 799-2711
Fax(406) 467-3407
Organization SubpartNo
Authorized OfficialTammie S SmithMbr · (406) 799-2711
Enumeration DateAugust 31, 2022
Last NPPES UpdateSeptember 29, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
✔ NPI 1043930993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
201 1ST AVE N, Fairfield, MT 59436
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wholly Authentic Life Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wholly Authentic Life LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tammie Smith, LCPC
Mental Health Counselor
NPI 1780257717
201 1ST AVE N
Fairfield, MT 59436
(406) 467-3447
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wholly Authentic Life LLC's NPI number?

The NPI number for Wholly Authentic Life LLC is 1043930993. It was assigned to this organization in the NPPES registry on August 31, 2022.

Where is Wholly Authentic Life LLC located?

Wholly Authentic Life LLC is located at 201 1st Ave N, Fairfield, MT 59436. The listed phone number is (406) 799-2711.

What is Wholly Authentic Life LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Wholly Authentic Life LLC enrolled in Medicare?

Yes. Wholly Authentic Life LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wholly Authentic Life LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Wholly Authentic Life LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wholly Authentic Life LLC accept?

Health plans from Blue Cross and Blue Shield of Montana list Wholly Authentic Life LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wholly Authentic Life LLC was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.