Eating Disorder Center of Montana

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EATING DISORDER CENTER OF MONTANA

Practice address

319 S Willson Ave
Bozeman, MT 59715-4632

Phone

(406) 451-7370

Fax

(406) 571-7956

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Jeni Ruth Gochin

Title

Clinical Director

Phone

(805) 637-4900

Specialties & licenses 8

Addresses

Tax ID family

Eating Disorder Center of Montana3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Eating Disorder Center of Montana

  • Mental Health Counselor
  • Bozeman, MT
  • NPI 1053751487
  NPD tax ID
• Eating Disorder Center of Montana

  • Mental Health Counselor
  • Missoula, MT
  • NPI 1942930789
  NPD tax ID

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1922606920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1306",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597711306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S WILLSON AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154632",
            "telephone_number": "406-451-7370",
            "fax_number": "406-571-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDER CENTER OF MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "GOCHIN",
        "authorized_official_first_name": "JENI",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "805-637-4900"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Dwyer
• Deanna Dykema, NNP-BC
• Eagle Mount - Bozeman
• Kelly Earle, DNP, APRN, FNC-C
• Eating Disorder Center of Montana
• Cara Frances Eaton, MS, RDN, LN
• Catherine Ina Ebelke, PA
• Casey Clarice Ebert, D.P.M.
• Anna Katariina Echeverri
• Echo Lake Counseling

• Mental Health Counselor in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.