All Nations Health Center

Organization Active NPI Mental Health Counselor · Missoula, MT

NPI 1760108609 · NPPES record last updated Nov 8, 2022

Key facts

NPI
1760108609
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
ALL NATIONS HEALTH CENTER
Practice address
1511 S Russell St
Missoula, MT 59801-3629
Phone
(406) 829-9515
NPI assigned
Oct 12, 2022
Organization subpart
No

Authorized official

Name
Kiana Davis
Title
Director of Human Resources
Phone
(406) 829-9515

Practitioners 5

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

National Provider Directory

Locations

2100 Stephens Ave
Ste 105
Missoula, MT 59801
Phone (406) 829-9515

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

1511 S Russell St
Missoula, MT 59801-3629

Mailing address

2100 Stephens Ave Ste 105
Missoula, MT 59801-6607
Phone (406) 829-9515

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2022.

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1760108609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STEPHENS AVE STE 105",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016607",
            "telephone_number": "406-829-9515",
            "fax_number": "406-829-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013629",
            "telephone_number": "406-829-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL NATIONS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-11-08",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIANA",
        "authorized_official_title_or_position": "DIRECTOR OF HUMAN RESOURCES",
        "authorized_official_telephone_number": "406-829-9515"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

All providers in Missoula, MT · Mental Health Counselor in Montana

Sources for this page

Verify at the official NPI Registry.