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EMBODIMENT THERAPY
NPI 1649816588
Social Worker - Clinical in Ronan, MT

Active since November 26, 2019
63917 US HIGHWAY 93, RONAN, MT 59864(865) 368-5298(406) 571-4008 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2022, Nov 26, 2019 (2 updates tracked since 2019).

About Embodiment Therapy NPPES

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

EMBODIMENT THERAPY (NPI 1649816588) is a healthcare organization registered as a clinical in Ronan, Montana and active in the NPI registry since November 2019. The organization lists Jean Allison Church, Provider, as its authorized official.

NPPES Registry Identity

NPI1649816588
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEMBODIMENT THERAPY LLC
Location Address63917 US HIGHWAY 93Ronan, MT 59864-3411
Mailing AddressPo Box 423Ronan, MT 59864-0423 · (865) 368-5298 · Fax (406) 571-4008
Phone(865) 368-5298
Fax(406) 571-4008
Organization SubpartNo
Authorized OfficialJean Allison ChurchProvider · (865) 368-5298
Enumeration DateNovember 26, 2019
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1649816588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
63917 US HIGHWAY 93, Ronan, MT 59864
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Other Names 1

Other NameEmbodiment Therapy

Other Identifiers 1

Medicaid1578063616MT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Embodiment Therapy 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 Embodiment Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jean Church, LCSW
Clinical Social Worker
NPI 1578063616
63917 US HWY- 93
Ronan, MT 59864
(865) 368-5298
✔ 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 Embodiment Therapy LLC's NPI number?

The NPI number for Embodiment Therapy LLC is 1649816588. It was assigned to this organization in the NPPES registry on November 26, 2019. The provider is also known as Embodiment Therapy.

Where is Embodiment Therapy LLC located?

Embodiment Therapy LLC is located at 63917 Us Highway 93, Ronan, MT 59864. The listed phone number is (865) 368-5298.

What is Embodiment Therapy LLC's specialty?

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

Is Embodiment Therapy LLC enrolled in Medicare?

Yes. Embodiment Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Embodiment Therapy LLC?

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

When was this NPI record last updated?

The NPPES record for Embodiment Therapy LLC was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.