Organization Active NPI

Innermountain Therapy LLC

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1134875198
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INNERMOUNTAIN THERAPY LLC
Practice address
2112 Dixon Ave
Missoula, MT 59801-8226
Phone
(406) 550-2750
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Lindsay Altounian, LCSWNPI 1871247791
Title
Therapist
Phone
(406) 550-2750

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

2112 Dixon Ave
Missoula, MT 59801-8226

Mailing address

2112 Dixon Ave
Missoula, MT 59801-8226
Phone (406) 550-2750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220527001487 MT Part B Supplier - Clinic/Group Practice 1557749892 Receives reassigned benefits from 1 practitioner
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

2112 Dixon Ave
Missoula, MT 59801
Phone (406) 396-0197

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": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1134875198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 DIXON AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018226",
            "telephone_number": "406-550-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 DIXON AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018226",
            "telephone_number": "406-550-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERMOUNTAIN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "ALTOUNIAN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "406-550-2750",
        "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 Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.