Individual provider Active NPI

Chase Gannon

  • Addiction (Substance Use Disorder) Psychologist
  • Missoula, MT
National Provider Identifier
1265223382
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
BBH-LAC-LIC-79686 Issued in MT
Practice address
202 Brooks St Ste 300
Missoula, MT 59801-4019
Phone
(406) 926-1453
NPI assigned
May 16, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X BBH-LAC-LIC-79686 MT Primary

Addresses

Primary practice location

202 Brooks St Ste 300
Missoula, MT 59801-4019

Mailing address

519 Flood Rd
Great Falls, MT 59404-6442
Phone (406) 868-7502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LAC-LIC-79686MTMDAddiction (Substance Use Disorder) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Behavioral Health Services, Inc. CurrentSince May 18, 2025 Accepting new patients
Stepping Stones Counseling, PLLC PastSince May 18, 2025 Accepting new patients

Locations

202 Brooks St
#300
Missoula, MT 59801
Phone (406) 926-1453

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1265223382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 FLOOD RD",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046442",
            "telephone_number": "406-868-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BROOKS ST STE 300",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014019",
            "telephone_number": "406-926-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "CHASE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-79686",
            "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 May 16, 2025; 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.