Organization Active NPI

Sarah M Y Nelson, LCPC, PLLC

  • Community/Behavioral Health Agency
  • Missoula, MT
National Provider Identifier
1639028582
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SARAH M Y NELSON, LCPC, PLLC
Practice address
700 South Ave W Ste D
Missoula, MT 59801-8011
Phone
(406) 552-9941
Fax
(406) 258-0433
NPI assigned
Jan 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Ms. Sarah M Y Nelson, MANPI 1457765992
Title
Owner
Phone
(406) 552-9941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

700 South Ave W Ste D
Missoula, MT 59801-8011

Mailing address

700 South Ave W Ste D
Missoula, MT 59801-8011
Phone (406) 552-9941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260619000349 MT Part B Supplier - Clinic/Group Practice 5890267959 Receives reassigned benefits from 1 practitioner
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

700 South Ave W
Ste D
Missoula, MT 59801
Phone (406) 219-7673

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1639028582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SOUTH AVE W STE D",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018011",
            "telephone_number": "406-552-9941",
            "fax_number": "406-258-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SOUTH AVE W STE D",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018011",
            "telephone_number": "406-552-9941",
            "fax_number": "406-258-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH M Y NELSON, LCPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "M Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-552-9941",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.