Two Rivers Wellness

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

TWO RIVERS WELLNESS

Practice address

2911 Wilson St
Miles City, MT 59301-5722

Phone

(406) 234-2929

Fax

(406) 234-2928

NPI assigned

Mar 18, 2020

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura L. Wetherelt, APRNNPI 1689641052

Title

FNP-C, Pmhnp-BC

Phone

(406) 234-2929

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: laurawetherelt2911@direct.practicefusion.com

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Wetherelt, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miles City, MT
  • NPI 1689641052
  Medicare reassignment Care Compare group NPD Authorized official
• Raylene Vassau, LAC, PCLC

  • Addiction (Substance Use Disorder) Counselor
  • Miles City, MT
  • NPI 1093423121
  Medicare reassignment Care Compare group NPD
• Amanda Dusatko

  • Addiction (Substance Use Disorder) Counselor
  • Miles City, MT
  • NPI 1174284384
  NPD
• Lindsey Taylor Henry

  • Addiction (Substance Use Disorder) Counselor
  • Miles City, MT
  • NPI 1780415174
  NPD
• Sara J Small, ACLC

  • Addiction (Substance Use Disorder) Counselor
  • Miles City, MT
  • NPI 1235907221
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1013543347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 CARTERSVILLE RD",
            "city": "ROSEBUD",
            "state": "MT",
            "postal_code": "593479522",
            "telephone_number": "406-351-2196",
            "fax_number": "406-234-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 WILSON ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015722",
            "telephone_number": "406-234-2929",
            "fax_number": "406-234-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "WETHERELT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "FNP-C, PMHNP-BC",
        "authorized_official_telephone_number": "406-234-2929",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4307966",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurawetherelt2911@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR direct messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2911 Wilson St",
            "city": "Miles City",
            "state": "MT",
            "country_code": "US",
            "postal_code": "593015722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Thomas Trotsky, MD
• Aung Ye Tun
• Mary Louise Tvedt, RD, CDE
• VA Montana Healthcare System
• Liane Alice Vadheim, RD, LN, CDE
• Olivia Marie Vanni, PHARMD, RPH
• Raylene Vassau, LAC, PCLC
• Elaine Vera, LAC

• Substance Use Disorder Rehabilitation Clinic/Center in Miles City, MT
• Providers in Miles City, MT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.