Organization Active NPI

Inner Journey Healthcare PLLC

  • Clinical Psychologist
  • Missoula, MT
National Provider Identifier
1205654209
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INNER JOURNEY HEALTHCARE PLLC
Practice address
121 Hickory St Ste 1
Missoula, MT 59801-1896
Phone
(406) 296-5071
NPI assigned
Sep 30, 2024
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Dr. Joey Banks, MDNPI 1528096146
Title
Medical Directory
Phone
(406) 296-5071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary
Group Psychotherapy Psychologist 103TP2701X
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

121 Hickory St Ste 1
Missoula, MT 59801-1896

Mailing address

121 Hickory St Ste 4
Missoula, MT 59801-1896
Phone (406) 541-2012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250620000672 MT Part B Supplier - Clinic/Group Practice 1557873189 Receives reassigned benefits from 1 practitioner
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

121 Hickory St
Ste 1
Missoula, MT 59801
Phone (406) 546-2222

121 Hickory St
Ste 4
Missoula, MT 59801
Phone (406) 541-2012

Practitioners & affiliated clinicians

Practitioners 3

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": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1205654209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HICKORY ST STE 4",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011896",
            "telephone_number": "406-541-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HICKORY ST STE 1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011896",
            "telephone_number": "406-296-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER JOURNEY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTORY",
        "authorized_official_telephone_number": "406-296-5071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 6, 2025; 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.