WAKE MENTAL HEALTH LLC
NPI 1700473253
Social Worker - Clinical in Kalispell, MT

Q: What is Wake Mental Health LLC's NPI number?

The NPI number for Wake Mental Health LLC is 1700473253. It was assigned to this organization in the NPPES registry on December 30, 2020.

Q: What is Wake Mental Health LLC's specialty?

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

Active since December 30, 2020

1077 WHITEFISH STAGE ROAD, KALISPELL, MT 59901(406) 253-1807 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2025, Dec 30, 2020 (2 updates tracked since 2020).

On this page

About Wake Mental Health Llc NPPES

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

WAKE MENTAL HEALTH LLC (NPI 1700473253) is a healthcare organization registered as a clinical in Kalispell, Montana and active in the NPI registry since December 2020. The organization lists Jill Dieser, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1700473253

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameWAKE MENTAL HEALTH LLC

Location Address1077 WHITEFISH STAGE ROADKalispell, MT 59901-2735

Mailing AddressPo Box 3206Kalispell, MT 59903-3206 · (406) 253-1807

Phone(406) 253-1807

Organization SubpartNo

Authorized OfficialJill DieserLcsw · (406) 253-1807

Enumeration DateDecember 30, 2020

Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1700473253 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.

1077 WHITEFISH STAGE ROAD, Kalispell, MT 59901

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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)

Wake Mental Health 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 Wake Mental Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jill Dieser, LCSW

Clinical Social Worker

NPI 1831705318

1507 1ST AVE W STE E
Kalispell, MT 59901

(406) 253-1807

✔ PECOS✔ Accepts Medicare2.2 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 Wake Mental Health LLC's NPI number?

The NPI number for Wake Mental Health LLC is 1700473253. It was assigned to this organization in the NPPES registry on December 30, 2020.

Where is Wake Mental Health LLC located?

Wake Mental Health LLC is located at 1077 Whitefish Stage Road, Kalispell, MT 59901. The listed phone number is (406) 253-1807.

What is Wake Mental Health LLC's specialty?

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

Is Wake Mental Health LLC enrolled in Medicare?

Yes. Wake Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wake Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Wake Mental Health 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 Wake Mental Health LLC was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.