Organization Active NPI

Womens Counseling Center P.C.

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1093847865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
473 Issued in MT
Legal business name
WOMENS COUNSELING CENTER P.C.
Practice address
1600 South Ave W # a
Missoula, MT 59801-7804
Phone
(406) 728-8388
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gus Adams
Title
Office Manager
Phone
(406) 864-2808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 473 MT Primary

Addresses

Primary practice location

1600 South Ave W # a
Missoula, MT 59801-7804

Mailing address

35510 Eds Creek Rd
Alberton, MT 59820-9441
Phone (406) 728-8388

Other identifiers 1

IdentifierTypeStateIssuer
0503013MedicaidMT

National Provider Directory

National Provider Directory

Locations

27 Fort Missoula Rd
Ste 2
Missoula, MT 59804
Phone (406) 728-8388

1600 South Ave W
#A
Missoula, MT 59801
Phone (406) 728-8388

725 W Alder St
Ste 18
Missoula, MT 59802
Phone (406) 396-4066

1600 South Ave W
Ste A
Missoula, MT 59801
Phone (406) 728-8388

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093847865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35510 EDS CREEK RD",
            "city": "ALBERTON",
            "state": "MT",
            "postal_code": "598209441",
            "telephone_number": "406-728-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SOUTH AVE W # A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017804",
            "telephone_number": "406-728-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS COUNSELING CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-864-2808"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0503013",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.