Embodied Wild Integrative Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMBODIED WILD INTEGRATIVE COUNSELING

Practice address

415 N Higgins Ave
Missoula, MT 59802-4557

Phone

(406) 404-6629

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Viste, MA, PCLCNPI 1821794702

Title

Owner and Therapist

Phone

(406) 404-6629

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jessica Viste, PCLC

  • Professional Counselor
  • Missoula, MT
  • NPI 1821794702
  NPD Authorized official

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1205537651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17951",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598087951",
            "telephone_number": "406-404-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N HIGGINS AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024557",
            "telephone_number": "406-404-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED WILD INTEGRATIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "VISTE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "406-404-6629",
        "authorized_official_credential": "MA, PCLC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark William Elliott, M.D.
• William Otto Elliott, DDS
• Heather Inge Ellsworth, LAC
• Scott Eugen Elrod, M.D.
• Heidi S.M. Elwood, LCSW
• Emeritus Corporation (Brookdale Missoula Valley)
• Michael Emery, LMT
• Emmaneul LLC
• Empowered Growth Counseling
• Empowerment Collective LLC

• Mental Health Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.