Active NPI
Harvest Wholeness Center LLC
- Adult Mental Health Clinic/Center
- Missoula, MT
National Provider Identifier
1407599012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- HARVEST WHOLENESS CENTER LLC
- Practice address
- 410 W Spruce St
Missoula, MT 59802-4106 - Phone
- (406) 214-3974
- NPI assigned
- Apr 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaley Marie Burke
- Title
- Director/Owner
- Phone
- (406) 396-3660
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | |||
| Acupuncturist | 171100000X | |||
| General Practice Physician | 208D00000X | |||
| Art Therapist | 221700000X | |||
| Massage Therapist | 225700000X | |||
| Music Therapist | 225A00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Doula | 374J00000X |
Addresses
Primary practice location
410 W Spruce St
Missoula, MT 59802-4106
Mailing address
410 W Spruce St
Missoula, MT 59802-4106
Phone (406) 214-3974
National Provider Directory
National Provider DirectoryLocations
410 W Spruce St
Missoula, MT 59802
Phone (406) 542-3740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650412800000",
"number": "1407599012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W SPRUCE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024106",
"telephone_number": "406-214-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W SPRUCE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024106",
"telephone_number": "406-214-3974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARVEST WHOLENESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "KALEY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "406-396-3660"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"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 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.