Brave Journey PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

BRAVE JOURNEY PLLC

Practice address

314 1St St E Ste 204
Polson, MT 59860-2100

Phone

(630) 219-8019

NPI assigned

Dec 28, 2018

Last updated

Aug 21, 2019By 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

Alina Barthuly

Title

Credentialing

Phone

(406) 655-0980

Specialties & licenses 1

Addresses

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.

• Elizabeth Nicole Bassler, LCSW

  • Clinical Social Worker
  • Polson, MT
  • NPI 1932601796
  NPD
• Shasta Baum-Strait, LCPC

  • Mental Health Counselor
  • Polson, MT
  • NPI 1336700814
  NPD (past)

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1821560970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 1ST ST E STE 204",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602100",
            "telephone_number": "630-219-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 1ST ST E STE 204",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602100",
            "telephone_number": "630-219-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE JOURNEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "BARTHULY",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "406-655-0980"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Leigh Borman, PA-C
• Boule Sophia LLC
• Alyssa Jacqueline Bovy, COTA
• Jennifer Ann Boyer, CRNA
• Alexis Brandenburg, NP-C
• Louis Conrad Brenner, PA-C
• April Brewer, LAC
• Brian O Baird, OD (Polson Family Eyecare)
• Darren Brockie, M.D.
• Clayton Irwin Brovold, DC

• Social Worker in Polson, MT
• Providers in Polson, MT by specialty
• Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.