Organization Active NPI

Melody Barnes, LCSW Lac, Inc.

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1912230160
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
699 Issued in MT
Legal business name
MELODY BARNES, LCSW LAC, INC.
Practice address
127 N. Higgins
Suite 302
Missoula, MT 59802-4457
Phone
(406) 926-6360
Fax
(406) 721-6901
NPI assigned
Sep 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Mrs. Melody L Barnes, LCSW LACNPI 1407823065
Title
Provider / Owner
Phone
(406) 926-6360

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 423 MT
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 699 MT Primary

Addresses

Primary practice location

127 N. Higgins
Suite 302
Missoula, MT 59802-4457

Mailing address

PO Box 4901
Missoula, MT 59806-4901
Phone (406) 926-6360

Other identifiers 4

IdentifierTypeStateIssuer
071195OtherMTBLUE CROSS OF MONTANA
0000503737MedicaidMT
071195OtherMTBCBS
0138957MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091006000314 MT Part B Supplier - Clinic/Group Practice 3779629712 Receives reassigned benefits from 1 practitioner
Practice locations: Missoula, MT
O20241121004540 MI Part B Supplier - Clinic/Group Practice 3779629712 Receives reassigned benefits from 1 practitioner
Practice locations: West Bloomfield, MI

National Provider Directory

National Provider Directory

Locations

127 N Higgins Ave
Ste 302
Missoula, MT 59802
Phone (406) 926-6360

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": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1912230160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4901",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598064901",
            "telephone_number": "406-926-6360",
            "fax_number": "406-721-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N. HIGGINS",
            "address_2": "SUITE 302",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024457",
            "telephone_number": "406-926-6360",
            "fax_number": "406-721-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODY BARNES, LCSW LAC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER / OWNER",
        "authorized_official_telephone_number": "406-926-6360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "423",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MONTANA",
            "identifier": "071195",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000503737",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "071195",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138957",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.