Organization Active NPI

CCCS Smart Program

  • Community/Behavioral Health Agency
  • Butte, MT
National Provider Identifier
1093162257
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CCCS SMART PROGRAM
Practice address
630 W Mercury St
Butte, MT 59701-1510
Phone
(406) 299-3448
Fax
(406) 299-3450
NPI assigned
May 18, 2016
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Jeni Leigh Nichols
Title
Licensed Addiction Counselor
Phone
(406) 299-3448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

630 W Mercury St
Butte, MT 59701-1510

Mailing address

630 W Mercury St
Butte, MT 59701-1510
Phone (406) 299-3448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1093162257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W MERCURY ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011510",
            "telephone_number": "406-299-3448",
            "fax_number": "406-299-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W MERCURY ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011510",
            "telephone_number": "406-299-3448",
            "fax_number": "406-299-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCCS SMART PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JENI",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "LICENSED ADDICTION COUNSELOR",
        "authorized_official_telephone_number": "406-299-3448"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.