Mitch Guerette LCSW LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1059 Issued in MT

Legal business name

MITCH GUERETTE LCSW LLC

Practice address

1001 SW Higgins Ave Ste 206
Missoula, MT 59803-1340

Phone

(406) 381-3473

NPI assigned

Aug 23, 2018

Last updated

Aug 23, 2018By 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

Mitch GueretteNPI 1518389881

Title

Psychotherapist

Phone

(406) 381-3473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 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.

• Mitch Guerette, LCSW

  • Social Worker
  • Missoula, MT
  • NPI 1518389881
  Medicare reassignment Care Compare group NPD Authorized official
• Erica Sandiland, LCSW

  • Social Worker
  • Missoula, MT
  • NPI 1831511195
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1720569213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SW HIGGINS AVE STE 206",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW HIGGINS AVE STE 206",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031340",
            "telephone_number": "406-381-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCH GUERETTE LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "GUERETTE",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "406-381-3473"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "1059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Missouri Consumer Direct, LLC
• Misty's Tanning and Ultimate Salon
• Chelsea J Mitchell, LMT, NMT
• Eric Jacob Mitchell
• Emily Kayelyn Mittelstadt, SWLC
• Ellen Mittlestadt
• Kimberly J Mize, PT

• Community/Behavioral Health Agency in Missoula, MT
• Providers in Missoula, 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 Aug 23, 2018; 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.