Organization Active NPI

State of the Heart Therapy Inc.

  • Speech-Language Pathologist
  • Dillon, MT
National Provider Identifier
1942364450
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
831 Issued in MT
Legal business name
STATE OF THE HEART THERAPY INC.
Practice address
435 S Atlantic St
Suite 102
Dillon, MT 59725-2726
Phone
(406) 683-5806
Fax
(406) 683-5806
NPI assigned
Dec 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Catherine Lebahn Griffin, M.C.S.D. CCC-SLPNPI 1558559716
Title
Speech Pathologist
Phone
(406) 683-5806

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 831 MT Primary

Addresses

Primary practice location

435 S Atlantic St
Suite 102
Dillon, MT 59725-2726

Mailing address

435 S Atlantic St
Suite 102
Dillon, MT 59725-2726
Phone (406) 683-5806

Other identifiers 2

IdentifierTypeStateIssuer
0000533630MedicaidMT
066376OtherMTBCBS OF MONTANA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091023000271 MT Part B Supplier - Clinic/Group Practice 4385781376 Receives reassigned benefits from 1 practitioner
Practice locations: Dillon, MT

National Provider Directory

National Provider Directory

Locations

209 Taylor Dr
Dillon, MT 59725
Phone (406) 683-5806

435 S Atlantic St
Ste 102
Dillon, MT 59725
Phone (406) 683-5806

Practitioners & affiliated clinicians

Practitioners 2

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942364450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S ATLANTIC ST",
            "address_2": "SUITE 102",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597252726",
            "telephone_number": "406-683-5806",
            "fax_number": "406-683-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S ATLANTIC ST",
            "address_2": "SUITE 102",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597252726",
            "telephone_number": "406-683-5806",
            "fax_number": "406-683-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF THE HEART THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "LEBAHN",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "406-683-5806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.C.S.D. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000533630",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MONTANA",
            "identifier": "066376",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.