Good Medicine Therapy Center PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

799LCSW Issued in MT

Legal business name

GOOD MEDICINE THERAPY CENTER PLLC

Practice address

803 Louisiana Ave
Libby, MT 59923-2107

Phone

(406) 293-7116

Fax

(406) 293-4029

NPI assigned

Sep 7, 2007

Last updated

Sep 7, 2007By 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

Martina J Nelson, MSW,LCSW.LAC,CMHPNPI 1922015536

Title

Therapist

Phone

(406) 293-7116

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Martina Jane Nelson, LCSW, LAC,CMHP

  • Clinical Social Worker
  • Libby, MT
  • NPI 1922015536
  Authorized official Same address or phone
• Cindy L. Jensen, LCSW

  • Clinical Social Worker
  • Libby, MT
  • NPI 1972510105
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1669667275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 LOUISIANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232107",
            "telephone_number": "406-293-7116",
            "fax_number": "406-293-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 LOUISIANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232107",
            "telephone_number": "406-293-7116",
            "fax_number": "406-293-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD MEDICINE THERAPY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "406-293-7116",
        "authorized_official_credential": "MSW,LCSW.LAC,CMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "799LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0044707",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Friss
• Skyler Anthony Gallaway, PA-C
• Mariadeljesus Garza
• Gateway Community Services (Gateway Community Services- Libby)
• Jennifer Denise Giager-Meyer, FNP-C
• Cheryl Gourley, PA-C
• Randy Lee Guinard, LCSW
• Kraig David Gunelson, D.D.S.
• Glenne Gunther, MD
• Nicole Desiree Haats, FNP-C

• Community/Behavioral Health Agency in Libby, MT
• Providers in Libby, MT by specialty
• Community/Behavioral Health Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.