Jaydee Lynn Weatherwax

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-SWLC-LIC-72913 Issued in MT

Practice address

1515 S Russell St
Missoula, MT 59801-3629

Phone

(406) 829-9515

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Nations Health Center

  • Mental Health Counselor
  • Missoula, MT
  • NPI 1760108609

  Addiction (Substance Use Disorder)

  NPD
• All Nations Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Missoula, MT
  • NPI 1649663923
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaydee.weatherwax@allnations.directbygreenway.com

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1497464168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STEPHENS AVE STE 105",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016607",
            "telephone_number": "406-829-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013629",
            "telephone_number": "406-829-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERWAX",
        "first_name": "JAYDEE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-SWLC-LIC-72913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "All Nations Health Center, Inc.",
            "address_1": "1515 S Russell St",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598013629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lowell Owen Wavrick, LAC
• Charles Wayland, LCSW
• Mark Christopher Wayne, LCSW
• We Care Behavioral Health LLC
• We Work Relationships, LLC
• Michelle Weaver Knowles, FNP
• Cicily Webb
• Douglas Willard Webber, MD
• Patricia Lee Webber, PH.D.
• Anya Wechsler

• All providers in Missoula, MT
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.