WESTERN MONTANA MENTAL HEALTH CENTER - NPI 1912079328

Q: What is Western Montana Mental Health Center's NPI number?

The NPI number for Western Montana Mental Health Center is 1912079328. It was assigned to this organization in the NPPES registry on November 14, 2006.

Q: What is Western Montana Mental Health Center'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.

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About Western Montana Mental Health Center NPPES

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

WESTERN MONTANA MENTAL HEALTH CENTER (NPI 1912079328) is a healthcare organization registered as a mental health (including community mental health center) in Missoula, Montana and active in the NPI registry since November 2006. The organization lists Cory Destein, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1912079328

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameWESTERN MONTANA MENTAL HEALTH CENTER

Location Address1321 WYOMING STMissoula, MT 59801-1725

Mailing Address1321 Wyoming StMissoula, MT 59801-1725 · (406) 532-8400 · Fax (406) 224-4402

Phone(406) 532-8400

Fax(406) 224-4402

Organization SubpartNo

Authorized OfficialCory DesteinChief Administrative Officer · (406) 532-8400

Enumeration DateNovember 14, 2006

Last NPPES UpdateMay 28, 20243 updates tracked since enumeration

NPPES CertifiedMay 28, 2024

✔ NPI 1912079328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in MT · 11034

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedCase ManagementTaxonomy 251B00000X · License 11034 (MT)

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 11034 (MT)

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 11034 (MT)

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License 11034 (MT)

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 258 07 (MT)

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X · License 13459 (MT)

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License 13459 (MT)

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

1321 WYOMING ST, Missoula, MT 59801

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Other Identifiers 13

Medicaid141232MT

Medicaid320424MT

Medicaid352248MT

Medicaid047379MT

Medicaid502316MT

Medicaid290108MT

Medicaid320177MT

Medicaid320385MT

Medicaid439161MT

Medicaid491419MT

Medicaid255425MT

Other000008376MT · Ptan

Medicaid601647MT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBEKAH MCDONALD

Counselor (Professional)