Organization Active NPI

Chuck Wayland LCSW LLC

Doing business as Chuck Wayland, LCSW, CHT

  • Community/Behavioral Health Agency
  • Missoula, MT
National Provider Identifier
1255047254
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHUCK WAYLAND LCSW LLC
Doing business as
Chuck Wayland, LCSW, CHT
Practice address
336 W Spruce St
Missoula, MT 59802-4108
Phone
(406) 396-7834
NPI assigned
Jan 24, 2023
Last updated
Jan 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Chuck Wayland, LCSW
Title
Owner
Phone
(406) 396-7834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

336 W Spruce St
Missoula, MT 59802-4108

Mailing address

336 W Spruce St
Missoula, MT 59802-4108
Phone (406) 396-7834

Other names 1

  • Chuck Wayland, LCSW, CHT Doing business as

National Provider Directory

National Provider Directory

Locations

336 W Spruce St
Missoula, MT 59802
Phone (406) 272-2224

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1255047254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 W SPRUCE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024108",
            "telephone_number": "406-396-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 W SPRUCE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024108",
            "telephone_number": "406-396-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUCK WAYLAND LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "WAYLAND",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-396-7834",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chuck Wayland, LCSW, CHT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 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.