Active NPI
Valeo Behavioral Health LLC
- Adult Mental Health Clinic/Center
- Missoula, MT
National Provider Identifier
1871953976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 999
- Legal business name
- VALEO BEHAVIORAL HEALTH LLC
- Practice address
- 1600 North Ave W Ste 106
Missoula, MT 59801-5500 - Phone
- (406) 544-7678
- Fax
- (406) 926-3117
- NPI assigned
- Mar 2, 2016
- 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
- Mrs. Kristina Marie Miner, LCSW, LAC, MSW
- Title
- Sole Member
- Phone
- (406) 544-7678
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 |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 999 | MT | Primary |
Addresses
Primary practice location
1600 North Ave W Ste 106
Missoula, MT 59801-5500
Mailing address
1600 North Ave W Ste 106
Missoula, MT 59801-5500
Phone (406) 544-7678
Other names 1
- Kristina M. Miner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Kristina M Miner
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Missoula, MT
- NPI 1720539745
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 1538473004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548028800000",
"number": "1871953976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 NORTH AVE W STE 106",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015500",
"telephone_number": "406-544-7678",
"fax_number": "406-926-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 NORTH AVE W STE 106",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015500",
"telephone_number": "406-544-7678",
"fax_number": "406-926-3117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALEO BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-02",
"last_updated": "2019-01-21",
"status": "A",
"authorized_official_last_name": "MINER",
"authorized_official_first_name": "KRISTINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "406-544-7678",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW, LAC, MSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "MT",
"license": "999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kristina M. Miner",
"code": "5",
"type": "Other Name"
}
]
}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 Jan 21, 2019; 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.