Active NPI
Level Up Therapy, LLC
- Community/Behavioral Health Agency
- Missoula, MT
National Provider Identifier
1639821713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.