Organization Active NPI

Enlightening Minds, LLC

  • Mental Health Counselor
  • Great Falls, MT
National Provider Identifier
1689225963
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ENLIGHTENING MINDS, LLC
Practice address
600 Central Ave Ste 408
Great Falls, MT 59401-3141
Phone
(406) 315-2227
Fax
(406) 315-2227
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Victoria Davenport, LAC, LCPCNPI 1972018216
Title
Ceo
Phone
(406) 315-2227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

600 Central Ave Ste 408
Great Falls, MT 59401-3141

Mailing address

600 Central Ave Ste 408
Great Falls, MT 59401-3141
Phone (406) 315-2227

Other identifiers 1

IdentifierTypeStateIssuer
1972018216MedicaidMT

National Provider Directory

National Provider Directory

Locations

600 Central Ave
Ste 408
Great Falls, MT 59401
Phone (406) 205-3433

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1689225963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE STE 408",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013141",
            "telephone_number": "406-315-2227",
            "fax_number": "406-315-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE STE 408",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013141",
            "telephone_number": "406-315-2227",
            "fax_number": "406-315-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENING MINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-315-2227",
        "authorized_official_credential": "LAC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972018216",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.