Organization Active NPI

Embodied Healing, LLC

  • Community/Behavioral Health Agency
  • Livingston, MT
National Provider Identifier
1811715337
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMBODIED HEALING, LLC
Practice address
1201 US Highway 10 W Ste A2
Livingston, MT 59047-9022
Phone
(406) 220-1761
NPI assigned
Oct 2, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Kris Loomis, LCSWNPI 1861134090
Title
Owner/Therapist
Phone
(406) 220-1761

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1201 US Highway 10 W Ste A2
Livingston, MT 59047-9022

Mailing address

PO Box 38
Livingston, MT 59047-0038
Phone (406) 220-1761

National Provider Directory

National Provider Directory

Locations

1201 US Highway 10 W
Ste A2
Livingston, MT 59047
Phone (406) 220-1761

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1811715337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590470038",
            "telephone_number": "406-220-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 US HIGHWAY 10 W STE A2",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590479022",
            "telephone_number": "406-220-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "406-220-1761",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.