Individual provider Active NPI

Paisley L. Miles, LCSW

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1922541606
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-37595 Issued in MT
Practice address
126 E Broadway St Ste 11
Missoula, MT 59802-4566
Phone
(406) 471-8869
NPI assigned
Nov 29, 2016
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-37595 MT Primary

Addresses

Primary practice location

126 E Broadway St Ste 11
Missoula, MT 59802-4566

Mailing address

126 E Broadway St Ste 11
Missoula, MT 59802-4566
Phone (406) 207-2680

Other practice location 1

1337 Sherwood
Missoula, MT 59802
Phone (406) 471-8869

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL pmiles@sagepsychotherapy-pllc.com Health Information Exchange (HIE)
Direct Messaging Address pmiles@sagepsychotherapy-pllc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105001400 MT Practitioner - Clinical Social Worker 1759877376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2739 Sheffield Dr
Missoula, MT 59808-5881

PO Box
Missoula, MT 59808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-37595MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Psychotherapy Clinical CurrentSince Oct 1, 2025 Accepting new patients

Locations

126 E Broadway St
Ste 11
Missoula, MT 59802
Phone (406) 471-8869

913 SW Higgins Ave
Ste 202
Missoula, MT 59803
Phone (406) 209-8084

Interoperability endpoints

  • Direct secure messaging: pmiles@sagepsychotherapy-pllc.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1922541606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E BROADWAY ST STE 11",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024566",
            "telephone_number": "406-207-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E BROADWAY ST STE 11",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024566",
            "telephone_number": "406-471-8869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1337 Sherwood",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "59802",
            "country_code": "US",
            "telephone_number": "406-471-8869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "PAISLEY",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-37595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pmiles@sagepsychotherapy-pllc.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email communication",
            "address_1": "126 E Broadway St Ste 11",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmiles@sagepsychotherapy-pllc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "126 E Broadway St Ste 11",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598024566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.