NPIMap

Organization Active NPI

Western Montana Mental Health Center

Doing business as Dakota Place

  • Mental Illness Community Based Residential Treatment Facility
  • Missoula, MT
National Provider Identifier
1881973816
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
11813 Issued in MT
Legal business name
WESTERN MONTANA MENTAL HEALTH CENTER
Doing business as
Dakota Place
Practice address
1273 Dakota St
Missoula, MT 59801-1709
Phone
(406) 542-1411
Fax
(406) 543-2631
NPI assigned
Aug 9, 2011
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Jodi Daly, LCPC
Title
Ceo
Phone
(406) 532-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 11813 MT Primary

Addresses

Primary practice location

1273 Dakota St
Missoula, MT 59801-1709

Mailing address

140 N Russell St
Missoula, MT 59801-1704
Phone (406) 532-8400

Other names 1

  • Dakota Place Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2211798Western Montana Mental Health-Dakota Place1273 Dakota Street, Missoula, MT 59801Certificate of waiverJan 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
WMRC Mental Health Ctr10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1881973816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011704",
            "telephone_number": "406-532-8400",
            "fax_number": "406-224-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 DAKOTA ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011709",
            "telephone_number": "406-542-1411",
            "fax_number": "406-543-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MONTANA MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "406-532-8400",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MT",
            "license": "11813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.