Active NPI
Jayne Rosso Seabrook Counseling, LLC
- Clinical Social Worker
- Missoula, MT
National Provider Identifier
1821587304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-12361
- Legal business name
- JAYNE ROSSO SEABROOK COUNSELING, LLC
- Practice address
- 800 Kensington Ave Ste LL2
Missoula, MT 59801-5670 - Phone
- (406) 360-3730
- NPI assigned
- May 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jayne Rosso Seabrook, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (406) 360-3730
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-12361 | MT | Primary |
Addresses
Primary practice location
800 Kensington Ave Ste LL2
Missoula, MT 59801-5670
Mailing address
PO Box 3453
Missoula, MT 59806-3453
Phone (406) 360-3730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5C0F57BA44 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
800 Kensington Ave
Ste LL2
Missoula, MT 59801
Phone (406) 360-3730
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Missoula, MT
- NPI 1689040552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525824000000",
"number": "1821587304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3453",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598063453",
"telephone_number": "406-360-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 KENSINGTON AVE STE LL2",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015670",
"telephone_number": "406-360-3730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAYNE ROSSO SEABROOK COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-09",
"last_updated": "2018-05-09",
"status": "A",
"authorized_official_last_name": "SEABROOK",
"authorized_official_first_name": "JAYNE",
"authorized_official_middle_name": "ROSSO",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "406-360-3730",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-12361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5C0F57BA44",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.