Organization Active NPI

Mindful Montana Wellness, LLC

  • Mental Health Counselor
  • Billings, MT
National Provider Identifier
1639725302
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL MONTANA WELLNESS, LLC
Practice address
520 Wicks LN Ste 8B
Billings, MT 59105-4464
Phone
(406) 413-9904
NPI assigned
Aug 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2019

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

Authorized official

Name
Deborah A. Horton, LCPCNPI 1639607138
Title
Counselor/Owner
Phone
(406) 413-9904

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

520 Wicks LN Ste 8B
Billings, MT 59105-4464

Mailing address

520 Wicks LN Ste 8B
Billings, MT 59105-4464
Phone (406) 413-9904

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Website Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

520 Wicks Ln
Ste 8B
Billings, MT 59105
Phone (406) 413-9904

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": "1566000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566000000000",
    "number": "1639725302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WICKS LN STE 8B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591054464",
            "telephone_number": "406-413-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WICKS LN STE 8B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591054464",
            "telephone_number": "406-413-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MONTANA WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-08-17",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "406-413-9904",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Website",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Records",
            "address_1": "520 Wicks Ln Ste 8B",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "591054464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.