Organization Active NPI

Pinnacle Wellness, LLC

  • Community/Behavioral Health Agency
  • Missoula, MT
National Provider Identifier
1356796676
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2356-LCSW Issued in MT
Legal business name
PINNACLE WELLNESS, LLC
Practice address
336 W Spruce St
Missoula, MT 59802-4108
Phone
(406) 272-2224
Fax
(406) 721-2833
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Ms. Erika F Bidlake, LCSWNPI 1346589009
Title
Therapist
Phone
(602) 316-3488

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
Community/Behavioral Health Agency 251S00000X 2356-LCSW MT Primary

Addresses

Primary practice location

336 W Spruce St
Missoula, MT 59802-4108

Mailing address

PO Box 9185
Missoula, MT 59807-9185
Phone (406) 272-2224

National Provider Directory

National Provider Directory

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": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1356796676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9185",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598079185",
            "telephone_number": "406-272-2224",
            "fax_number": "406-721-2833"
        },
        {
            "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": "406-272-2224",
            "fax_number": "406-721-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "BIDLAKE",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "602-316-3488",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "2356-LCSW",
            "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 Apr 25, 2016; 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.