Organization Active NPI

Level Up Therapy, LLC

  • Community/Behavioral Health Agency
  • Missoula, MT
National Provider Identifier
1639821713
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEVEL UP THERAPY, LLC
Practice address
715 Kensington Ave Ste 14
Missoula, MT 59801-5700
Phone
(406) 214-1282
NPI assigned
Jan 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Meganne J Anderson, LCSW
Title
Owner/Operator/Clinician
Phone
(406) 214-1282

Specialties & licenses 1

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

Addresses

Primary practice location

715 Kensington Ave Ste 14
Missoula, MT 59801-5700

Mailing address

715 Kensington Ave Ste 14
Missoula, MT 59801-5700
Phone (406) 214-1282

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1639821713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 KENSINGTON AVE STE 14",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015700",
            "telephone_number": "406-214-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 KENSINGTON AVE STE 14",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015700",
            "telephone_number": "406-214-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MEGANNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPERATOR/CLINICIAN",
        "authorized_official_telephone_number": "406-214-1282",
        "authorized_official_credential": "LCSW"
    },
    "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 Jan 20, 2022; 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.