NPIMap

Organization Active NPI

Missoula Therapy, PLLC

  • Mental Health Counselor
  • Missoula, MT
National Provider Identifier
1225528110
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MISSOULA THERAPY, PLLC
Practice address
3819 Stephens Ave Ste 300
Missoula, MT 59801
Phone
(406) 215-2225
Fax
(406) 215-2226
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Mr. Andrew S Hill, LCSW, CBISNPI 1588022248
Title
Therapist
Phone
(406) 215-2225

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3819 Stephens Ave Ste 300
Missoula, MT 59801

Mailing address

3819 Stephens Ave Ste 300
Missoula, MT 59801-8522
Phone (406) 215-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180619001875 MT Part B Supplier - Clinic/Group Practice 1254686025 Receives reassigned benefits from 2 practitioners
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

3819 Stephens Ave
Ste 300
Missoula, MT 59801
Phone (406) 215-2225

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1225528110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 STEPHENS AVE STE 300",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018522",
            "telephone_number": "406-215-2225",
            "fax_number": "406-215-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 STEPHENS AVE STE 300",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59801",
            "telephone_number": "406-215-2225",
            "fax_number": "406-215-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOULA THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "406-215-2225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, CBIS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 4, 2020; 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.