Active NPI
Montana Rescue Mission
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Billings, MT
National Provider Identifier
1235776014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MONTANA RESCUE MISSION
- Practice address
- 2902 Minnesota Ave
Billings, MT 59101-4054 - Phone
- (406) 259-3800
- Fax
- (406) 259-4638
- NPI assigned
- Nov 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Lundgren
- Title
- Executive Director
- Phone
- (406) 259-3800
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2902 Minnesota Ave
Billings, MT 59101-4054
Mailing address
PO Box 3232
Billings, MT 59103-3232
Phone (406) 259-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200605001457 | MT | Part B Supplier - Clinic/Group Practice | 9133540768 |
Receives reassigned benefits from 6 practitioners Practice locations: Billings, MT |
National Provider Directory
National Provider DirectoryLocations
2902 Minnesota Ave
Billings, MT 59101
Phone (406) 259-3800
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Billings, MT
- NPI 1366742199
Addiction (Substance Use Disorder), MT
-
- Psychiatric/Mental Health Nurse Practitioner
- Denver, CO
- NPI 1386120343
MT
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614038400000",
"number": "1235776014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3232",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591033232",
"telephone_number": "406-259-3800",
"fax_number": "406-259-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 MINNESOTA AVE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591014054",
"telephone_number": "406-259-3800",
"fax_number": "406-259-4638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTANA RESCUE MISSION",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-29",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A",
"authorized_official_last_name": "LUNDGREN",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "406-259-3800"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.