Secure Base Therapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SECURE BASE THERAPY, PLLC

Practice address

113 W Front St Ste 109
Missoula, MT 59802-4327

Phone

(406) 531-2948

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

Theresa O'Keefe, LCSW, MSNPI 1245982842

Title

Owner

Phone

(406) 304-1192

Specialties & licenses 1

Addresses

Other names 1

• T.O'K Therapy LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa O'Keefe, MS, MSW

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1245982842
  Medicare reassignment NPD Authorized official
• Alexandra Kathleen Peel, SWLC

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1033944756
  Medicare reassignment

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1609683143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17669 CALAMITY LN",
            "city": "HUSON",
            "state": "MT",
            "postal_code": "598469006",
            "telephone_number": "406-304-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W FRONT ST STE 109",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024327",
            "telephone_number": "406-531-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE BASE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "O'KEEFE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-304-1192",
        "authorized_official_credential": "LCSW, MS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.O'K Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sean Seagraves
• Stanley H Seagraves, MD
• Marika Sears, PA
• Danielle Lynn Sebastian, PHARMD
• Randale Craig Sechrest, M.D.
• Morgan Sedahl
• Maureen Seel
• Jade Seifert
• Susan Marie Selbach, MD
• Nancy Seldin, EDD, LPC

• 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 Dec 17, 2024; 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.