Active NPI
Open Arms Counseling, PLLC
- Exclusive Provider Organization
- Billings, MT
National Provider Identifier
1902166739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 935
- Legal business name
- OPEN ARMS COUNSELING, PLLC
- Practice address
- 928 Broadwater Ave
Suite 252-B
Billings, MT 59101-2700 - Phone
- (406) 850-2279
- NPI assigned
- May 27, 2012
- 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
- Jan M Pedro, LCSW
- Title
- Sole Owner Propriator
- Phone
- (406) 850-2279
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 935 | MT | Primary |
Addresses
Primary practice location
928 Broadwater Ave
Suite 252-B
Billings, MT 59101-2700
Mailing address
928 Broadwater Ave
Suite 252-B
Billings, MT 59101-2700
Phone (406) 850-2279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104064195 | Medicaid | MT |
National Provider Directory
National Provider DirectoryLocations
928 Broadwater Ave
Ste 252B
Billings, MT 59101
Phone (406) 850-2279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338076800000",
"number": "1902166739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 BROADWATER AVE",
"address_2": "SUITE 252-B",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591012700",
"telephone_number": "406-850-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 BROADWATER AVE",
"address_2": "SUITE 252-B",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591012700",
"telephone_number": "406-850-2279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN ARMS COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-27",
"last_updated": "2012-05-27",
"status": "A",
"authorized_official_last_name": "PEDRO",
"authorized_official_first_name": "JAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SOLE OWNER PROPRIATOR",
"authorized_official_telephone_number": "406-850-2279",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "MT",
"license": "935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104064195",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.