Organization Active NPI

L Esprit PC

  • Community/Behavioral Health Agency
  • Livingston, MT
National Provider Identifier
1194107003
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
13496 Issued in MT
Legal business name
L ESPRIT PC
Practice address
120 S Main St
Livingston, MT 59047-2624
Phone
(406) 223-3621
NPI assigned
Jun 27, 2015
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Chantelle PlaucheNPI 1932339629
Title
Administrator
Phone
(406) 223-3621

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Case Management Agency 251B00000X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Mental Illness Community Based Residential Treatment Facility 320800000X 13496 MT
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU
Community/Behavioral Health Agency 251S00000X 13496 MT Primary

Addresses

Primary practice location

120 S Main St
Livingston, MT 59047-2624

Mailing address

111 N 3Rd St Ste 1
Livingston, MT 59047-2645
Phone (406) 223-3621

Other identifiers 2

IdentifierTypeStateIssuer
1194107003MedicaidMT
7176890MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200427000904 MT Part B Supplier - Clinic/Group Practice 4385074756 Receives reassigned benefits from 1 practitioner
Practice locations: Livingston, MT

National Provider Directory

National Provider Directory

Locations

111 N 3rd St
Livingston, MT 59047
Phone (406) 222-1846

111 N 3rd St
Ste 1
Livingston, MT 59047

120 S Main St
Livingston, MT 59047
Phone (406) 222-7641

124 S Main St
Ste 206
Livingston, MT 59047

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1194107003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 3RD ST STE 1",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590472645",
            "telephone_number": "406-223-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590472624",
            "telephone_number": "406-223-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L ESPRIT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "PLAUCHE",
        "authorized_official_first_name": "CHANTELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "406-223-3621"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MT",
            "license": "13496",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "13496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194107003",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7176890",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.