White Buffalo Healing Lodge

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

WHITE BUFFALO HEALING LODGE

Practice address

22 W Park St # 211
Butte, MT 59701-1714

Phone

(406) 221-7058

NPI assigned

Mar 3, 2023

Organization subpart

No

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

Authorized official

Name

Mandi Boston, LAC

Title

Executive Director

Phone

(406) 221-7058

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Mandi Shaff, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Butte, MT
  • NPI 1194425637
  NPD
• Romnee Vushon

  • Addiction (Substance Use Disorder) Counselor
  • Butte, MT
  • NPI 1881303287
  NPD

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1740980291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W PARK ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011714",
            "telephone_number": "406-221-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PARK ST # 211",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011714",
            "telephone_number": "406-221-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE BUFFALO HEALING LODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "BOSTON",
        "authorized_official_first_name": "MANDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-221-7058",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Montana Mental Health Center
• Westside Midwifery & Women'S Health, PC
• Frances Elizabeth Whalen, R.D.
• Keegan Whelan, RPH
• Anna B Wherry, PT
• Catherine Marie White, MD
• Stephen Whitney Jr., MPC, LCPC
• Robert Franklyn Wilcox II, D.M.D
• Stacy Lynn Wilcox, RDH, LAP
• Matthew Alan Wild, CRNA

• Substance Use Disorder Rehabilitation Clinic/Center in Butte, MT
• Providers in Butte, 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 May 12, 2025; 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.