NPIMap

Organization Active NPI

Life Management Associates, LLC

  • Professional Counselor
  • Butte, MT
National Provider Identifier
1932520459
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8 Issued in MT
Legal business name
LIFE MANAGEMENT ASSOCIATES, LLC
Practice address
600 Dewey Blvd Ste B
Butte, MT 59701-3214
Phone
(406) 490-2493
Fax
(406) 782-1318
NPI assigned
Dec 31, 2013
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Jeffrey Alan WatsonNPI 1760498679
Title
Member
Phone
(406) 490-2493

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X 8 MT Primary
Marriage & Family Therapist 106H00000X 9 MT

Addresses

Primary practice location

600 Dewey Blvd Ste B
Butte, MT 59701-3214

Mailing address

600 Dewey Blvd Ste B
Butte, MT 59701-3214
Phone (406) 782-4778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191008001734 MT Part B Supplier - Clinic/Group Practice 0345571279 Receives reassigned benefits from 1 practitioner
Practice locations: Butte, MT; Deer Lodge, MT

National Provider Directory

National Provider Directory

Locations

600 Dewey Blvd
Ste B
Butte, MT 59701
Phone (406) 782-4778

302 Missouri Ave
Deer Lodge, MT 59722
Phone (406) 782-4778

509 Main St
Deer Lodge, MT 59722

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1932520459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DEWEY BLVD STE B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013214",
            "telephone_number": "406-782-4778",
            "fax_number": "406-782-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DEWEY BLVD STE B",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013214",
            "telephone_number": "406-490-2493",
            "fax_number": "406-782-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MANAGEMENT ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-490-2493"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "8",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "9",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.