Jeanette Stangl Inc PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

454 Issued in MT

Legal business name

JEANETTE STANGL INC PC

Practice address

821 South Orange St
Sacajawea Offices
Missoula, MT 59801-6724

Phone

(406) 542-8461

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Jeanette Marie Stangl, LCSW LAC

Title

President

Phone

(406) 542-8461

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1407010317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 SOUTH ORANGE ST",
            "address_2": "SACAJAWEA OFFICES",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016724",
            "telephone_number": "406-542-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE STANGL INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "STANGL",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-542-8461",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW LAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.