NPIMap

Organization Active NPI

Alive and Well

  • Adult Mental Health Clinic/Center
  • Columbia Falls, MT
National Provider Identifier
1891171435
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1103 Issued in MT
Legal business name
ALIVE AND WELL
Practice address
1611 N Fork Rd
Columbia Falls, MT 59912-9410
Phone
(406) 892-8830
NPI assigned
Aug 5, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Michael Stamborski, LCPC, LAC
Title
Therapist
Phone
(406) 892-8830

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1103 MT Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 1103 MT
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1183 MT

Addresses

Primary practice location

1611 N Fork Rd
Columbia Falls, MT 59912-9410

Mailing address

1611 N Fork Rd
Columbia Falls, MT 59912-9410
Phone (406) 892-8830

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1891171435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 N FORK RD",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599129410",
            "telephone_number": "406-892-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 N FORK RD",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599129410",
            "telephone_number": "406-892-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE AND WELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "STAMBORSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "406-892-8830",
        "authorized_official_credential": "LCPC, LAC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MT",
            "license": "1103",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MT",
            "license": "1103",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MT",
            "license": "1183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.