Montana Therapy

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

20513 RN Issued in MT

Legal business name

MONTANA THERAPY

Practice address

1601 2ND Ave N
Great Falls, MT 59401-3259

Phone

(406) 622-3406

NPI assigned

Jan 21, 2010

Last updated

Jan 21, 2010By 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

Ms. Laurel A Andrechak, PMHNP-BC

Title

Owner

Phone

(406) 622-3406

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1891026415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "FORT BENTON",
            "state": "MT",
            "postal_code": "594420806",
            "telephone_number": "406-622-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 2ND AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013259",
            "telephone_number": "406-622-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "ANDRECHAK",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-622-3406",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "20513 RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992907372",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montana Heart PC
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• Montana Plains Rehabilitation PC
• Montana Plastic Surgery Center
• Montana School F-T Deaf & Blind
• Montana Valley Counseling LLC
• Montana Vamc
• Montana Wound Management PC
• Montcare Inc
• Darcy Ann Montijo, DPT

• Psychiatric/Mental Health Nurse Practitioner in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.