NPIMap

Organization Active NPI

Kids Behavioral Health of Montana

Doing business as Acadia Montana

  • Adolescent and Children Mental Health Clinic/Center
  • Butte, MT
National Provider Identifier
1225429582
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
13178 Issued in MT
Legal business name
KIDS BEHAVIORAL HEALTH OF MONTANA
Doing business as
Acadia Montana
Practice address
3738 Harrison Ave
Altacare
Butte, MT 59701-6823
Phone
(406) 497-7890
Fax
(406) 497-7918
NPI assigned
Feb 9, 2015
Last updated
Feb 9, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
ACADIA HEALTHCARE COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Rheba Jo Simpson
Title
Business Office Director
Phone
(406) 497-7890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 13178 MT Primary

Addresses

Primary practice location

3738 Harrison Ave
Altacare
Butte, MT 59701-6823

Mailing address

3738 Harrison Ave
Altacare
Butte, MT 59701-6823
Phone (406) 497-7890

Other identifiers 1

IdentifierTypeStateIssuer
0351458MedicaidMT

Other names 1

  • Acadia Montana Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Acadia Montana8 organizations share this tax ID, including this one
Part of
Acadia Healthcare

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3738 Harrison Ave
Butte, MT 59701
Phone (406) 497-7894

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1225429582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 HARRISON AVE",
            "address_2": "ALTACARE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016823",
            "telephone_number": "406-497-7890",
            "fax_number": "406-497-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 HARRISON AVE",
            "address_2": "ALTACARE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016823",
            "telephone_number": "406-497-7890",
            "fax_number": "406-497-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS BEHAVIORAL HEALTH OF MONTANA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE COMPANY LLC",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "RHEBA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "406-497-7890"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MT",
            "license": "13178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351458",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadia Montana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.