South Central Montana Regional Mental Health Center
Organization Active NPI Clinic/Center · Billings, MT
NPI 1891781787 · NPPES record last updated Nov 30, 2021
Key facts
- NPI
- 1891781787
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- SOUTH CENTRAL MONTANA REGIONAL MENTAL HEALTH CENTER
- Practice address
- 1245 N 29TH St
Billings, MT 59101-0122 - Phone
- (406) 252-5658
- Fax
- (406) 238-3617
- NPI assigned
- Sep 26, 2005
- Organization subpart
- No
Authorized official
- Name
- Rodney Ostermiller
- Title
- Executive Director
- Phone
- (406) 252-5658
Corporate family (same tax ID) 1
Practitioners 83
-
Justin R Kopp, LAC
-
Diane M Quick, APRN
-
Wendy Sue Goffena, MSW
-
Nathan L Church, LCSW
-
Angela Kay Gainan, LCSW
-
Stephanie L Melmer, LCSW
-
Andrea M Merback, LCSW
-
John Joseph Monroe, LPC, LMFT
-
Landy L Sears, LPC
-
Shalom Franchont Waltenbaugh, LCSW, LAC
-
Katherine Weaver, MD
-
Rachel Withrow, APRN, RN
-
Susan Asbell, FNP
-
Jinell R Bal, LCPC
-
Sally O Bates, RN C
-
Minnie Bell, LCPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031229000867 | MT | Part B Supplier - Clinic/Group Practice | 8224936224 |
Receives reassigned benefits from 19 practitioners Practice locations: Billings, MT |
National Provider Directory
- Tax ID family
- South Central Regional
Locations
1601 Lewis Ave
Billings, MT 59102
Phone (406) 230-1069
1245 N 29th St
Billings, MT 59101
Phone (406) 252-5658
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1245 N 29TH St
Billings, MT 59101-0122
Mailing address
PO Box 219
Billings, MT 59103-0219
Phone (406) 252-5658
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS701326 | Other | RR MEDICARE GROUP NUMBER | |
| CD-1841 | Other | RR MEDICARE GROUP NUMBER | |
| VENDOR #0177769 | Medicaid | MT | |
| VENDOR #0216125 | Medicaid | MT | |
| VENDOR #0216121 | Medicaid | MT | |
| VENDOR #0216112 | Medicaid | MT | |
| VENDOR #0177775 | Medicaid | MT | |
| VENDOR #0177786 | Medicaid | MT | |
| VENDOR #0216104 | Medicaid | MT |
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.