Tree of Life Therapy Center, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TREE OF LIFE THERAPY CENTER, P.C.

Practice address

547 S 20TH St W Ste 5
Billings, MT 59102-6445

Phone

(406) 647-4817

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Kathleen Buck, LCSWNPI 1871019190

Title

President

Phone

(406) 647-4817

Specialties & licenses 1

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.

• Kelly Kathleen Buck, LCSW

  • Clinical Social Worker
  • Billings, MT
  • NPI 1871019190
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1700402302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22796",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591042796",
            "telephone_number": "406-647-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 S 20TH ST W STE 5",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026445",
            "telephone_number": "406-647-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE THERAPY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-647-4817",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tree of Life Care Group LLC
• Treehouse Wellness LLC
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• Kirstee Kaye Trees
• Tabitha Lei Trenary, PHARMD
• David Nathaniel Trickey, MD

• Clinical Social Worker in Billings, MT
• Providers in Billings, 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 Nov 4, 2020; 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.