Organization Active NPI

Open Arms Counseling, PLLC

  • Exclusive Provider Organization
  • Billings, MT
National Provider Identifier
1902166739
Registry record updated May 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
935 Issued in MT
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

Updated by the provider on May 27, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1104064195MedicaidMT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.