KELLY EWALT, INC
NPI 1114770591
Clinic/Center - Mental Health (Including Community Mental Health Center) in Columbia Falls, MT
About Kelly Ewalt, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY EWALT, INC (NPI 1114770591) is a healthcare organization registered as a mental health (including community mental health center) in Columbia Falls, Montana and active in the NPI registry since April 2024. The organization lists Kelly Ewalt, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Ewalt, Inc 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 Kelly Ewalt, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kelly Ewalt, Inc's NPI number?
The NPI number for Kelly Ewalt, Inc is 1114770591. It was assigned to this organization in the NPPES registry on April 8, 2024.
Where is Kelly Ewalt, Inc located?
Kelly Ewalt, Inc is located at 305 1st Ave W, Columbia Falls, MT 59912. The listed phone number is (406) 249-9153.
What is Kelly Ewalt, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Kelly Ewalt, Inc enrolled in Medicare?
Yes. Kelly Ewalt, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kelly Ewalt, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Kelly Ewalt, Inc. 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.
When was this NPI record last updated?
The NPPES record for Kelly Ewalt, Inc was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kelly Ewalt, Inc · NPI 1114770591
Mental Health (Including Community Mental Health Center) organization in Columbia Falls, Montana. Organization record, active in the CMS NPPES registry since April 8, 2024.
## Identity
- **NPI:** 1114770591 (Entity type: Organization)
- **Enumerated:** April 8, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Kelly Ewalt, OWNER
## Practice location
- **Address:** 305 1ST AVE W, Columbia Falls, MT 59912-3625
- **Phone:** (406) 249-9153 · **Fax:** (406) 892-4606
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1114770591) · Data from the CMS NPPES public registry.