Mountain Wellness Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MOUNTAIN WELLNESS THERAPY LLC

Practice address

515 W Park St
Livingston, MT 59047-2530

Phone

(406) 220-7893

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Anna Dewees, LCPC, LACNPI 1447537717

Title

Owner

Phone

(406) 220-7893

Specialties & licenses 1

Addresses

Other names 2

• MOUNTAIN WELLNESS THERAPY LLC Former legal business name
• Anna Dewees Other name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

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

• Anna K Dewees, BA, MA, LCPC, LAC

  • Mental Health Counselor
  • Livingston, MT
  • NPI 1447537717
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1043085095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W PARK ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590472530",
            "telephone_number": "406-220-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W PARK ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590472530",
            "telephone_number": "406-220-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WELLNESS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "DEWEES",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-220-7893",
        "authorized_official_credential": "LCPC, LAC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN WELLNESS THERAPY LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Anna Dewees",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Livingston, MT
• Providers in Livingston, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.