Active NPI
Bear Paw Recovery Center
Doing business as Bear Paw Recovery Center PLLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Havre, MT
National Provider Identifier
1033762992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- BEAR PAW RECOVERY CENTER
- Doing business as
- Bear Paw Recovery Center PLLC
- Practice address
- 332 2ND Ave
Havre, MT 59501-3530 - Phone
- (406) 399-1757
- NPI assigned
- Jul 19, 2019
- Last updated
- Sep 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse Bergren, LAC
- Title
- Owner
- Phone
- (406) 399-1757
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
332 2ND Ave
Havre, MT 59501-3530
Mailing address
332 2ND Ave
Havre, MT 59501-3530
Phone (406) 399-1757
Other names 1
- BEAR PAW RECOVERY CENTER PLLC
National Provider Directory
National Provider DirectoryLocations
605 3rd Ave
Havre, MT 59501
Phone (406) 399-1757
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.
-
- Addiction (Substance Use Disorder) Counselor
- Havre, MT
- NPI 1699185322
-
- Addiction (Substance Use Disorder) Counselor
- Havre, MT
- NPI 1548029515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1033762992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 2ND AVE",
"city": "HAVRE",
"state": "MT",
"postal_code": "595013530",
"telephone_number": "406-399-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 2ND AVE",
"city": "HAVRE",
"state": "MT",
"postal_code": "595013530",
"telephone_number": "406-399-1757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAR PAW RECOVERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-19",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "BERGREN",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-399-1757",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BEAR PAW RECOVERY CENTER PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.