Organization Active NPI

Jennifer Richard PLLC

  • Adult Mental Health Clinic/Center
  • Hamilton, MT
National Provider Identifier
1043049000
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JENNIFER RICHARD PLLC
Practice address
320 N 1St St Ste D9
Hamilton, MT 59840-3516
Phone
(406) 961-7510
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Jennifer Haley RichardNPI 1447843347
Title
Owner/Therapist
Phone
(406) 961-7510

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

320 N 1St St Ste D9
Hamilton, MT 59840-3516

Mailing address

116 Daly Ave
Hamilton, MT 59840-2826
Phone (406) 961-7510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241016001094 MT Part B Supplier - Clinic/Group Practice 4082146014 Receives reassigned benefits from 1 practitioner
Practice locations: Stevensville, MT

National Provider Directory

National Provider Directory

Locations

320 N 1st St
Ste D9
Hamilton, MT 59840
Phone (406) 961-7510

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1043049000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DALY AVE",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402826",
            "telephone_number": "406-961-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N 1ST ST STE D9",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403516",
            "telephone_number": "406-961-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER RICHARD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "HALEY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "406-961-7510"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.