Rocky Mountain Psychotherapy & Neurofeedback

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-656 Issued in MT

Legal business name

ROCKY MOUNTAIN PSYCHOTHERAPY & NEUROFEEDBACK

Practice address

2601 S 3Rd St W
Missoula, MT 59804-1143

Phone

(406) 396-3500

NPI assigned

Jan 10, 2017

Last updated

Jan 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dorothy RogersNPI 1134168818

Title

Owner

Phone

(406) 396-3500

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

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.

• Dorothy Elizabeth Rogers, LCSW

  • Mental Health Counselor
  • Missoula, MT
  • NPI 1134168818
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1417493883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598041143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S 3RD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598041143",
            "telephone_number": "406-396-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN PSYCHOTHERAPY & NEUROFEEDBACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-396-3500"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-20257",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0503711",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12167320",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000071125",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "3323973",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Ear Nose & Throat Center PC
• Rocky Mountain Eye Center PC
• Rocky Mountain Eye Surgery Center Inc
• Rocky Mountain Hospice of Missoula, LLC (Compassus Hospice Missoula)
• Rocky Mountain Optical & Contact Lens Center, Inc.
• Rocky Mountain Women's Health (The Birth Center)
• Nicole Roda, DPT
• Kaitlyn Rode
• Teresa C Rodriguez, PA-C
• Sarah Elizabeth Roeder, L.M.T., R.Y.T.

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.