Organization Active NPI

Valeo Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Missoula, MT
National Provider Identifier
1720539745
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BBH-LCSW-LIC-999 Issued in MT
Legal business name
VALEO BEHAVIORAL HEALTH, LLC
Practice address
1600 North Ave W Ste 106
Missoula, MT 59801-5500
Phone
(406) 544-7678
Fax
(406) 926-3117
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Mrs. Kristina Marie Miner, LCSW, LAC, MSWNPI 1538473004
Title
Sole Member
Phone
(406) 544-7678

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BBH-LCSW-LIC-999 MT Primary
Community/Behavioral Health Agency 251S00000X BBH-LAC-LIC-1354 MT

Addresses

Primary practice location

1600 North Ave W Ste 106
Missoula, MT 59801-5500

Mailing address

1600 North Ave W Ste 106
Missoula, MT 59801-5500
Phone (406) 544-7678

Other identifiers 1

IdentifierTypeStateIssuer
1538473004MedicaidMT

Other names 1

  • Kristina M Miner Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kristina M Miner2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1600 North Ave W
Ste 106
Missoula, MT 59801
Phone (406) 360-3730

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": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1720539745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NORTH AVE W STE 106",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015500",
            "telephone_number": "406-544-7678",
            "fax_number": "406-926-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NORTH AVE W STE 106",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015500",
            "telephone_number": "406-544-7678",
            "fax_number": "406-926-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALEO BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "406-544-7678",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LAC, MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "BBH-LCSW-LIC-999",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "BBH-LAC-LIC-1354",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538473004",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristina M Miner",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kristina M Miner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.