Organization Active NPI

My Healthy Life Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Missoula, MT
National Provider Identifier
1376183525
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MY HEALTHY LIFE COUNSELING LLC
Practice address
738 Kensington Ave
Missoula, MT 59801-5720
Phone
(406) 945-1730
NPI assigned
Jan 15, 2020
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Lowell Owen Wavrick, LACNPI 1508380569
Title
Owner/Employee
Phone
(406) 945-1730

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
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

738 Kensington Ave
Missoula, MT 59801-5720

Mailing address

4998 Sonoma St
Missoula, MT 59808-8694
Phone (406) 945-1730

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1376183525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 SONOMA ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598088694",
            "telephone_number": "406-945-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 KENSINGTON AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015720",
            "telephone_number": "406-945-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HEALTHY LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "WAVRICK",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "406-945-1730",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "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 Dec 29, 2020; 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.