Organization Active NPI

Montana Mindset LLC

  • Clinical Social Worker
  • Billings, MT
National Provider Identifier
1124867940
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MONTANA MINDSET LLC
Practice address
926 Main St Ste 14
Billings, MT 59105-3359
Phone
(406) 831-0631
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Elizabeth McGillvray, LCSWNPI 1598239063
Title
Owner
Phone
(406) 831-0631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

926 Main St Ste 14
Billings, MT 59105-3359

Mailing address

100 24TH St W # 1277
Billings, MT 59102-4771
Phone (406) 831-0631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240923000621 MT Part B Supplier - Clinic/Group Practice 7618418336 Receives reassigned benefits from 1 practitioner
Practice locations: Billings, MT

National Provider Directory

National Provider Directory

Locations

100 24th St W
#1277
Billings, MT 59102

926 Main St
Ste 14
Billings, MT 59105
Phone (406) 702-1466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1124867940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 24TH ST W # 1277",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024771",
            "telephone_number": "406-831-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 MAIN ST STE 14",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591053359",
            "telephone_number": "406-831-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA MINDSET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "MCGILLVRAY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-831-0631",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.