Diversified Therapeutic Services, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DIVERSIFIED THERAPEUTIC SERVICES, PLLC

Practice address

30 E Washinton St, Suite a
Kalispell, MT 59901

Phone

(406) 471-4296

NPI assigned

Jul 10, 2019

Organization subpart

No

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

Authorized official

Name

Jackson Hokanson, SWLC

Title

MSW Therapist

Phone

(406) 290-9039

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1588216535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 HUTTON RANCH RD STE 103",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012142",
            "telephone_number": "406-471-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E WASHINTON ST, SUITE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-471-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "HOKANSON",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "MSW THERAPIST",
        "authorized_official_telephone_number": "406-290-9039",
        "authorized_official_credential": "SWLC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Dickerson, LAC
• Scott Sheldon Dickson, D.M.D.
• Roger Joseph Diegel, MD
• Jill Dieser, LCSW
• Caleigh Differding, APRN
• Bradley Bruce Dixon, DNP/FNP STUDENT
• Charles Dixon, M.D.
• Lisa Gail Dixon, SUDP
• Mary H Dixon, PT, DPT, CFMT
• DME Direct Services LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.