Vibrant Lives of Montana

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

VIBRANT LIVES OF MONTANA

Practice address

212 E Bannack St
Dillon, MT 59725-2706

Phone

(406) 925-3677

NPI assigned

Nov 6, 2020

Organization subpart

No

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

Authorized official

Name

Melainya Ryan, LCPCNPI 1669837142

Title

Executive Director

Phone

(406) 925-3677

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

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

• Melainya Ryan, L.C.P.C.

  • Professional Counselor
  • Dillon, MT
  • NPI 1669837142
  Medicare reassignment NPD Authorized official
• Valerie Coulter, LCSW

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1053072280
  Medicare reassignment NPD

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1306447149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E BANNACK ST",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597252706",
            "telephone_number": "406-925-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E BANNACK ST",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597252706",
            "telephone_number": "406-925-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT LIVES OF MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MELAINYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-925-3677",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.vibrantlivesmt.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure contact",
            "address_1": "212 E Bannack St",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597252706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Ann Uhler, MACCCSLP
• Karina Kaye Van Slyke, PA-S
• Vans Iga of Dillon Inc
• Kirk R Vanslyke, DPT
• Molly Anne Viall, OTR/L, MOT, BS, LMT
• Timothy Steven Visscher, MD
• Kenny Joe Wallen, D.N.P.
• Ellen Inez Ward, PTA
• Karen Weed, M.D.
• Patricia Marie Weigle, CRNA

• Professional Counselor in Dillon, MT
• Providers in Dillon, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.