Mountain Root Healing

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOUNTAIN ROOT HEALING

Practice address

307 1St Ave E Ste 15
Kalispell, MT 59901-4965

Phone

(562) 519-8492

NPI assigned

Dec 23, 2019

Organization subpart

No

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

Authorized official

Name

Kathren Gonzalez, LCSWNPI 1124662044

Title

Member

Phone

(562) 519-8492

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kathren Gonzalez, MSW, LCSW

  • Clinical Social Worker
  • Kalispell, MT
  • NPI 1124662044
  NPD Authorized official

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1629617568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W NICKLAUS AVE",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012773",
            "telephone_number": "562-519-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 1ST AVE E STE 15",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014965",
            "telephone_number": "562-519-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN ROOT HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "KATHREN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "562-519-8492",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Moses, PA-S
• Jessica Rachel Mosier, M.D.
• Mountain Physical Therapy and Fitness Center LLC
• Mountain Physical Therapy, P.C.
• Mountain Physical Therapy, PC
• Mountain West Plastic Surgery and Medical Spa, PLLC
• Mt Connections Counseling, LLC
• Mt Imaging Centers LLC
• Mt SDS III, PLLC
• Mt SDS III, PLLC

• Clinical Social Worker in Kalispell, MT
• Providers in Kalispell, 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 23, 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.