Choicepoint Mt LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CHOICEPOINT MT LLC

Practice address

1601 2ND Ave N Ste 535
Great Falls, MT 59401-3255

Phone

(908) 948-8802

NPI assigned

Sep 8, 2022

Last updated

Oct 14, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CHOICEPOINT LLCAs reported in NPPES

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

Authorized official

Name

Ryan Kaczka

Title

MBMR

Phone

(908) 948-8802

Specialties & licenses 2

Addresses

Part of

Choicepoint LLC

Locations

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1720709629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6586 ATLANTIC AVE # 4872",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N STE 535",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013255",
            "telephone_number": "908-948-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICEPOINT MT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOICEPOINT LLC",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "KACZKA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MBMR",
        "authorized_official_telephone_number": "908-948-8802"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki L Chapman, DO
• Jamina Charles, M.D.
• Casey Cheney, PHARMD
• Cheryl a. Basta (River City Counseling LLC)
• Chidochashe Chikwava, DO
• Christa McKay PLLC
• Anna Mary Christensen, MD
• Brooke Christiaens, MD
• Christian G Madson Aprn
• Jeffrey John Christiansen, R.T. (R) (T), CMD

• Substance Use Disorder Rehabilitation Clinic/Center in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.