Organization Active NPI

Wellness Options LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anaconda, MT
National Provider Identifier
1356032387
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WELLNESS OPTIONS LLC
Practice address
1083 W. Park Ave
Anaconda, MT 59711
Phone
(406) 498-5449
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Ms. Jamie Beth Goldberg, NPNPI 1255875811
Title
Acnp/Pmhnp
Phone
(406) 498-5449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1083 W. Park Ave
Anaconda, MT 59711

Mailing address

1083 W. Park Ave
Anaconda, MT 59711
Phone (406) 498-5449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231016002505 MT Part B Supplier - Clinic/Group Practice 8426403197 Receives reassigned benefits from 1 practitioner
Practice locations: Anaconda, MT

National Provider Directory

National Provider Directory

Locations

1083 W Park Ave
Anaconda, MT 59711
Phone (406) 498-5449

1083 W Park Ave
Anaconda, MT 59711
Phone (406) 498-5449

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1356032387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 W. PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "59711",
            "telephone_number": "406-498-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 W. PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "59711",
            "telephone_number": "406-498-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS OPTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "ACNP/PMHNP",
        "authorized_official_telephone_number": "406-498-5449",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.