Organization Active NPI

Maureen Cordial, LMFT, LCPC, PLLC

  • Adult Mental Health Clinic/Center
  • Missoula, MT
National Provider Identifier
1912309592
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LMFT-4491 Issued in MT
Legal business name
MAUREEN CORDIAL, LMFT, LCPC, PLLC
Practice address
701 W Spruce St
Missoula, MT 59802-3904
Phone
(406) 721-8858
NPI assigned
Sep 25, 2014
Last updated
Sep 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Maureen Eloise Cordial, LMFT, LCPCNPI 1194169789
Title
Marriage and Family Therapist
Phone
(406) 721-8858

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
Adult Mental Health Clinic/Center 261QM0850X LMFT-4491 MT Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X LCPC-4492 MT

Addresses

Primary practice location

701 W Spruce St
Missoula, MT 59802-3904

Mailing address

701 W Spruce St
Missoula, MT 59802-3904
Phone (406) 721-8858

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1912309592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W SPRUCE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023904",
            "telephone_number": "406-721-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W SPRUCE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023904",
            "telephone_number": "406-721-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN CORDIAL, LMFT, LCPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "CORDIAL",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "ELOISE",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "406-721-8858",
        "authorized_official_credential": "LMFT, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MT",
            "license": "LMFT-4491",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MT",
            "license": "LCPC-4492",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 25, 2014; 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.