Active NPI
Sherrie Mobley
- Mental Health Counselor
- Missoula, MT
National Provider Identifier
1255994521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19107
- Practice address
- 1305 Wyoming St
Missoula, MT 59801-1725 - Phone
- (406) 532-9770
- Fax
- (406) 541-3034
- NPI assigned
- Apr 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19107 | MT | Primary |
Addresses
Primary practice location
1305 Wyoming St
Missoula, MT 59801-1725
Mailing address
PO Box 3792
Missoula, MT 59806-3792
Phone (406) 830-1889
Other practice location 1
2901 W Broadway St Ste 210
Missoula, MT 59808-1784
Phone (406) 830-1889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240319001719 | MT | Practitioner - Mental Health Counselor | 7618314246 | Practice locations: Missoula, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2901 W Broadway St
Suite 204
Missoula, MT 59808-1784
Phone (406) 830-1899
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19107 | MT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1255994521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3792",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598063792",
"telephone_number": "406-830-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 WYOMING ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011725",
"telephone_number": "406-532-9770",
"fax_number": "406-541-3034"
}
],
"practiceLocations": [
{
"address_1": "2901 W Broadway St Ste 210",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598081784",
"country_code": "US",
"telephone_number": "406-830-1889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOBLEY",
"first_name": "SHERRIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-22",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "19107",
"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 Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.