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MOUNTAIN HOME MONTANA INC
NPI 1265752034
Social Worker - Clinical in Missoula, MT

Active since June 03, 2010
4720 23RD AVE, MISSOULA, MT 59803(406) 541-4663(406) 541-4662 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2026, Nov 30, 2022, Oct 26, 2022 and 1 more (4 updates tracked since 2022).

About Mountain Home Montana Inc NPPES

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

MOUNTAIN HOME MONTANA INC (NPI 1265752034) is a healthcare organization registered as a clinical in Missoula, Montana and active in the NPI registry since June 2010. The organization lists Greta Jernberg, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1265752034
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMOUNTAIN HOME MONTANA INC
Location Address4720 23RD AVEMissoula, MT 59803-1137
Mailing Address4720 23rd AveMissoula, MT 59803-1137 · (406) 541-4663 · Fax (406) 541-4662
Phone(406) 541-4663
Fax(406) 541-4662
Organization SubpartNo
Authorized OfficialGreta JernbergClinical Director · (406) 541-4663
Enumeration DateJune 3, 2010
Last NPPES UpdateJanuary 13, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1265752034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCase ManagementTaxonomy 251B00000X · License 13491 (MT)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 709LCSW (MT), 13491 (MT)
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
4720 23RD AVE, Missoula, MT 59803
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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)

Mountain Home Montana 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 Mountain Home Montana Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brooke Doyle, LCSW
Clinical Social Worker
NPI 1205372505
55 BASIN CREEK RD
Butte, MT 59701
(406) 497-7907
✔ PECOS✔ Accepts Medicare96 mi

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 Mountain Home Montana Inc's NPI number?

The NPI number for Mountain Home Montana Inc is 1265752034. It was assigned to this organization in the NPPES registry on June 3, 2010.

Where is Mountain Home Montana Inc located?

Mountain Home Montana Inc is located at 4720 23rd Ave, Missoula, MT 59803. The listed phone number is (406) 541-4663.

What is Mountain Home Montana Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mountain Home Montana Inc enrolled in Medicare?

Yes. Mountain Home Montana Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Home Montana Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mountain Home Montana 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.

What insurance does Mountain Home Montana Inc accept?

Health plans from Blue Cross and Blue Shield of Montana list Mountain Home Montana Inc 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 Mountain Home Montana Inc was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.