Colibri Wellness PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COLIBRI WELLNESS PLLC

Practice address

1690 Milwaukee Way,
#205
Missoula, MT 59801-3028

Phone

(360) 280-7593

Fax

(717) 720-3916

NPI assigned

May 31, 2024

Organization subpart

No

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

Authorized official

Name

Julie Anne Colibri, LCSWNPI 1053777011

Title

Owner

Phone

(360) 280-7593

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 1

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

• Julie Anne Colibri, MSW

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1053777011
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1639919178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 MILWAUKEE WAY,",
            "address_2": "#205",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013028",
            "telephone_number": "360-280-7593",
            "fax_number": "717-720-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 MILWAUKEE WAY,",
            "address_2": "#205",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013028",
            "telephone_number": "360-280-7593",
            "fax_number": "717-720-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIBRI WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-09-11",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "COLIBRI",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-280-7593",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001763699",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Cole
• Michael Leslie Cole, DPT
• Tyler B Coleman, MA, LCPC, LAC
• Coles Life Coaching
• Thomas Peter Colgan, PCLC
• Julie Anne Colibri, MSW
• Mark P. Colip, M.D.
• Paula S Colledge, PA-C
• Drew Colling
• Ginger Gunter Collins, CCC-SLP

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, 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 Sep 11, 2024; 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.