NPIMap

Organization Active NPI

Sunburst Health LLC

Doing business as Cedar Creek Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
National Provider Identifier
1093297764
Registry record updated Nov 19, 2025
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 HEALTH LLC
Doing business as
Cedar Creek Integrated Health
Practice address
2620 Connery Way
Missoula, MT 59808-1325
Phone
(406) 203-9948
Fax
(406) 203-9949
NPI assigned
Aug 30, 2018
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Jordan Stow
Title
Credentialing Manager
Phone
(406) 291-0321

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Case Management Agency 251B00000X
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Primary Care Nurse Practitioner 363LP2300X
Community/Behavioral Health Agency 251S00000X
Peer Specialist 175T00000X

Addresses

Primary practice location

2620 Connery Way
Missoula, MT 59808-1325

Mailing address

2282 US Highway 93 S
Kalispell, MT 59901-8499
Phone (406) 890-2570

Other practice location 1

2282 US Highway 93 S
Kalispell, MT 59901-8499
Phone (406) 890-2570

Other practice location 2

2216 Boothill Ct Ste 3
Bozeman, MT 59715-7215
Phone (406) 600-5007 ext. 40640

Other practice location 3

330 Main St SW
Ronan, MT 59864-2707
Phone (406) 676-0630

Other practice location 4

61262 Watson Rd
St Ignatius, MT 59865-9124
Phone (406) 381-3962

Other names 1

  • Cedar Creek Integrated Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181015003220 MT Part B Supplier - Clinic/Group Practice 9335491612 Receives reassigned benefits from 10 practitioners
Practice locations: Ronan, MT; Missoula, MT; Kalispell, MT; Bozeman, MT

National Provider Directory

National Provider Directory

Locations

2216 Boothill Ct
Ste 3
Bozeman, MT 59715
Phone (406) 600-5007

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1093297764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 US HIGHWAY 93 S",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599018499",
            "telephone_number": "406-890-2570",
            "fax_number": "406-203-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CONNERY WAY",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081325",
            "telephone_number": "406-203-9948",
            "fax_number": "406-203-9949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2282 US Highway 93 S",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599018499",
            "country_code": "US",
            "telephone_number": "406-890-2570",
            "fax_number": "406-203-9949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2216 Boothill Ct Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597157215",
            "country_code": "US",
            "telephone_number": "406-600-5007 x40640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Main St SW",
            "address_purpose": "LOCATION",
            "city": "Ronan",
            "state": "MT",
            "postal_code": "598642707",
            "country_code": "US",
            "telephone_number": "406-676-0630",
            "fax_number": "406-203-9949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61262 Watson Rd",
            "address_purpose": "LOCATION",
            "city": "St Ignatius",
            "state": "MT",
            "postal_code": "598659124",
            "country_code": "US",
            "telephone_number": "406-381-3962",
            "fax_number": "406-203-9949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNBURST HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "STOW",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "406-291-0321"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "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": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Creek Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.