Organization Active NPI

3 Rivers Mental Health Solutions LLC

  • Community/Behavioral Health Agency
  • Missoula, MT
National Provider Identifier
1861729535
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
12754 Issued in MT
Legal business name
3 RIVERS MENTAL HEALTH SOLUTIONS LLC
Practice address
1620 Regent St Ste a
Missoula, MT 59801-5665
Phone
(406) 830-3294
NPI assigned
Nov 17, 2009
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Tae Hartless
Title
Manager
Phone
(406) 830-3294

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 12127 MT
Adult Mental Health Clinic/Center 261QM0850X NU
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU
Community/Behavioral Health Agency 251S00000X 12754 MT Primary

Addresses

Primary practice location

1620 Regent St Ste a
Missoula, MT 59801-5665

Mailing address

1620 Regent St Ste a
Missoula, MT 59801-5665
Phone (406) 830-3294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140714000390 MT Part B Supplier - Clinic/Group Practice 4587889225 Receives reassigned benefits from 7 practitioners
Practice locations: Butte, MT; Missoula, MT

National Provider Directory

National Provider Directory

Locations

1620 Regent St
Ste A
Missoula, MT 59801
Phone (406) 830-3294

715 Kensington Ave
Ste 24B
Missoula, MT 59801
Phone (406) 830-3294

Practitioners & affiliated clinicians

Practitioners 8

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": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1861729535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 REGENT ST STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015665",
            "telephone_number": "406-830-3294",
            "fax_number": "406-258-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 REGENT ST STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598015665",
            "telephone_number": "406-830-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 RIVERS MENTAL HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "HARTLESS",
        "authorized_official_first_name": "TAE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-830-3294"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MT",
            "license": "12127",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MT",
            "license": "12754",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 19, 2025; 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.

Verify at the official NPI Registry.