Organization Active NPI

Guided Healing Trails LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Missoula, MT
National Provider Identifier
1033678396
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
GUIDED HEALING TRAILS LLC
Practice address
913 SW Higgins Ave Ste 201
Missoula, MT 59803-1423
Phone
(406) 540-4120
Fax
(406) 540-4160
NPI assigned
Mar 17, 2019
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Mr. Joseph Brent Suchanic, LMFT, LCPCNPI 1871052134
Title
Family Therapist/Owner
Phone
(406) 540-4120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X NU
Case Management Agency 251B00000X NU
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU

Addresses

Primary practice location

913 SW Higgins Ave Ste 201
Missoula, MT 59803-1423

Mailing address

500 N Higgins Ave Ste 107
Missoula, MT 59802-4550
Phone (406) 540-4120

National Provider Directory

National Provider Directory

Locations

500 N Higgins Ave
Ste 107
Missoula, MT 59802
Phone (406) 285-1345

913 SW Higgins Ave
Ste 201
Missoula, MT 59803
Phone (406) 431-7764

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1033678396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N HIGGINS AVE STE 107",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024550",
            "telephone_number": "406-540-4120",
            "fax_number": "406-540-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 SW HIGGINS AVE STE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031423",
            "telephone_number": "406-540-4120",
            "fax_number": "406-540-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED HEALING TRAILS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-17",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "SUCHANIC",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "FAMILY THERAPIST/OWNER",
        "authorized_official_telephone_number": "406-540-4120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.