Organization Active NPI

Sunburst Community Service Foundation, Inc

Doing business as Sunbursts Community Service Foundation, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kalispell, MT
National Provider Identifier
1083947055
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SUNBURST COMMUNITY SERVICE FOUNDATION, INC
Doing business as
Sunbursts Community Service Foundation, Inc
Practice address
2282 Hwy 93 S
Suite 1
Kalispell, MT 59901
Phone
(406) 745-8721
Fax
(406) 257-4054
NPI assigned
Sep 9, 2009
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Kathy J Estes
Title
Billing Supervisor
Phone
(406) 756-8721

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 304 MT
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 304 MT
Community/Behavioral Health Agency 251S00000X 304 MT

Addresses

Primary practice location

2282 Hwy 93 S
Suite 1
Kalispell, MT 59901

Mailing address

2282 Hwy 93 S
Suite 1
Kalispell, MT 59901
Phone (406) 745-8721

Other identifiers 1

IdentifierTypeStateIssuer
MT02338MedicaidMT

Other names 1

  • Sunbursts Community Service Foundation, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2282 US Highway 93 S
Apt 1
Kalispell, MT 59901
Phone (406) 745-8721

108 E 9th St
Ste 11
Libby, MT 59923
Phone (406) 293-5284

103 Whitewater Pl
Ste A
Polson, MT 59860
Phone (406) 883-4060

203 Main St
Polson, MT 59860
Phone (406) 728-6840

Practitioners & affiliated clinicians

Practitioners 9

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": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1083947055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 HWY 93 S",
            "address_2": "SUITE 1",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-745-8721",
            "fax_number": "406-257-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 HWY 93 S",
            "address_2": "SUITE 1",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-745-8721",
            "fax_number": "406-257-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBURST COMMUNITY SERVICE FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "406-756-8721"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MT",
            "license": "304",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "304",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MT02338",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunbursts Community Service Foundation, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunbursts Community Service Foundation, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.