Organization Active NPI

Wellness Coordination Services

  • Clinical Social Worker
  • Whitefish, MT
National Provider Identifier
1902650401
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELLNESS COORDINATION SERVICES
Practice address
903 Spokane Ave Ste 4
Whitefish, MT 59937-2980
Phone
(406) 407-4215
NPI assigned
Apr 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Regan Ryan Hunt, LCSWNPI 1245494921
Title
Owner / Counselor
Phone
(406) 407-4215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

903 Spokane Ave Ste 4
Whitefish, MT 59937-2980

Mailing address

PO Box 4793
Whitefish, MT 59937-4793
Phone (406) 407-4215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240701002485 MT Part B Supplier - Clinic/Group Practice 3779027719 Receives reassigned benefits from 1 practitioner
Practice locations: Whitefish, MT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1902650401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4793",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599374793",
            "telephone_number": "406-407-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SPOKANE AVE STE 4",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372980",
            "telephone_number": "406-407-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COORDINATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "REGAN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER / COUNSELOR",
        "authorized_official_telephone_number": "406-407-4215",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.