Bitterroot Behavioral Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BITTERROOT BEHAVIORAL HEALTH LLC

Practice address

320 N 1St St Ste G
Hamilton, MT 59840-2569

Phone

(406) 662-1050

NPI assigned

Apr 16, 2024

Last updated

Apr 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blythe Siebenaller, LCSWNPI 1821440223

Title

Owner

Phone

(406) 662-1050

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blythe Siebenaller, LCSW, LAC

  • Clinical Social Worker
  • Hamilton, MT
  • NPI 1821440223

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1639923691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N 1ST ST STE G",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402569",
            "telephone_number": "406-662-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N 1ST ST STE G",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402569",
            "telephone_number": "406-662-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITTERROOT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "SIEBENALLER",
        "authorized_official_first_name": "BLYTHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-662-1050",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyer Big Sky Optical, Inc (Big Sky Eye Care Clinic)
• Dirk Michael Beyer, O.D.
• Buffy Binder
• Nilda Soto Bishop, LCPC
• Bitterroot Behavioral Guidance, LLC
• Bitterroot Drug Inc
• Bitterroot Family Medicine, P.C. (Family Medicine Center of the Bitterroot, P.C.)
• Bitterroot Foot & Ankle Clinic PC
• Bitterroot Haven LLC
• Bitterroot Health Dialysis LLC (Bitterroot Dialysis)

• Clinical Social Worker in Hamilton, MT
• Providers in Hamilton, 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 Apr 16, 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.