Individual provider Active NPI

Tony Estrada Jr.

  • Peer Specialist
  • Helena, MT
National Provider Identifier
1043917669
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
BBH-BHPS-CRT-62434 Issued in MT
Practice address
833 N Last Chance Gulch
Helena, MT 59601-3352
Phone
(406) 422-4933
NPI assigned
Feb 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X BBH-BHPS-CRT-62434 MT Primary

Addresses

Primary practice location

833 N Last Chance Gulch
Helena, MT 59601-3352

Mailing address

PO Box 5771
Helena, MT 59604-5771
Phone (406) 422-4933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-BHPS-CRT-62434MTMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
JHG Ventures Inc CurrentSince Feb 19, 2023 Accepting new patients
JHG Ventures Inc. CurrentSince Dec 29, 2024 Accepting new patients

Locations

833 N Main St
Helena, MT 59601
Phone (406) 422-4933

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1043917669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5771",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596045771",
            "telephone_number": "406-422-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N LAST CHANCE GULCH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013352",
            "telephone_number": "406-422-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "TONY",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MT",
            "license": "BBH-BHPS-CRT-62434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.