Kairos Youth Services, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

KAIROS YOUTH SERVICES, INC.

Practice address

4513 7TH Ave N
Great Falls, MT 59405-1124

Phone

(406) 771-7774

Fax

(406) 452-8382

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Patrick Corrigan

Title

Executive Director

Phone

(406) 727-0076

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Cody Harvey, LCPC

  • Professional Counselor
  • Great Falls, MT
  • NPI 1700184017
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144356791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3066",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594033066",
            "telephone_number": "406-727-0076",
            "fax_number": "406-452-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 7TH AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594051124",
            "telephone_number": "406-771-7774",
            "fax_number": "406-452-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-727-0076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500446",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320359",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin a. Hicks, D.M.D., PC
• K. Guymon Dental, LLC
• K4Jpc
• Jessica Elizabeth Kaae, D.O.
• Krystal Rennee Kackley, AGAC-NP
• Sarah Phinizy Gamble Karls, LCPC
• Kristen Marjorie Kathrein, LCSW
• Gerald Katz, M D
• Zale Kaupish
• Austin Kazda

• Mental Illness Community Based Residential Treatment Facility in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Mental Illness Community Based Residential Treatment Facility in Montana

• 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.